摘要
目的 规范肝门部胆管癌整块或根治性切除术的手术方式 ,改进和提高其手术治疗效果。方法 总结分析了解放军总医院 1986年至 1999年手术治疗的肝门部胆管癌 15 7例资料。结果 总手术切除率为 6 7 5 % (10 6 / 15 7) ,根治性切除率为 37 6 % (5 9/ 15 7)。近 3年对 5 4例肝门部胆管癌行手术切除 ,切除率为 74% (4 1/ 5 4) ,根治性切除率为 43% (2 3/ 5 4) ;随访 3年存活率 :根治性切除组为 5 7% (13/ 2 3) ,姑息性切除组为 41% (7/ 17) ,未切除组为 7% (1/ 14)。
Objective To evaluate a newly designed radical resection for hilar cholangiocarcinoma in terms of higher resection rate and longer survival.HZ]Methods A retrospective analysis was made on 157 patients undergoing radical operation for hilar cholangiocarcinoma from 1986 to 1999.Results The total resection rate and the radical resection rate was 67.5% (106/157) and 37.6% (59/157), respectively, whereas among 54 cases undergoing surgery during recent 3 years it was 74% (41/54) and 43% (23/54) respectively. The 3 year survival rate of radical resection,palliative resection and non resection was 57% (13/23),41% (7/17) and 7% (1/14) . Conclusion Intraoperative pathological diagnosis plays an important role in the selection of radical resection. The improvements of radical resection of hilar cholangiocarcinoma are as follows: (1) transection of proximal hepatic bile duct at the porta hepatis; (2) skeletoning the portal vein combined with resection of the hepatica propria artery; (3) excision of portal vein plus hemihepatectomy; (4) cholangiojejunostomy without internal stent.
出处
《中华普通外科杂志》
CSCD
北大核心
2001年第2期82-84,共3页
Chinese Journal of General Surgery
关键词
肝门部胆管癌
外科手术
术式
改进
Cholangiocarcinoma
Surgical procedures, operative
