摘要
目的 探讨胆囊癌合并肝门胆管侵犯手术治疗的价值。方法 回顾性分析 2 8例手术治疗病人的术前发现 ,手术情况和随访结果。结果 2 2例随访 2～ 35个月 ,仍存活 11例 ,其中 2例已存活 2年以上。 1例术后 1周死于 DIC,10例于术后生存 3～ 15个月。手术切除加“骨骼化”清扫术后生存时间较长。结论 对胆囊癌合并肝门侵犯者也应积极手术 ,且将淋巴结清扫扩大至第三站 ,HPD和“骨骼化”清扫是延长生存期的重要手段 ,用 PMOD进行刮吸解剖 。
Objective To investigate the effect of the surgical treatment for gallbladder cancer infiltrating hilar biliary tract.Methods The clinical data of 28 cases undergoing surgery was analyzed retrospectively.Results Follow up for 2～35 months,2 cases have been survived for more than 2 years,1 case died of DIC 1 week later,10 cases died of exhaustion or tumor recurrence,6 cases can not be follow up.Conclusion It is possible to prolong the life of patients with gallbladder cancer infilitrating hilar biliary tract by extended radical resection,such as HPD and skeletonization of hepatoduodenum ligament.Lymphadenectomy in the late-staged cases suitable radical resection should include the 3rd station nodes.To do these operations,it is very helpful with the use of PMOD(Peng's multifunctional dissector).
出处
《肝胆外科杂志》
2003年第1期44-45,共2页
Journal of Hepatobiliary Surgery
关键词
胆囊癌
扩大根治
gallbladder cancer
extended radical resection
