摘要
目的 探讨肿瘤局部切除“U”形管支撑肝肠套接吻合术治疗肝门部胆管肿瘤的临床价值。方法 回顾分析1995年 10月至 2 0 0 0年 11月间应用肿瘤局部切除“U”形管支撑肝肠套接吻合术治疗 7例进展期肝门部胆管肿瘤的临床资料。 结果 病理结果示 5例 Klatskin's病切缘均无癌残留 ,2例胆囊癌肝门浸润者切缘有癌残留。随访资料示中位生存期 11个月 ,1例存活已超过 2 3个月。结论 肝门部胆管肿瘤局部切除“U”形管支撑肝肠套接吻合术可部分替代肝门部肿瘤单纯外引流术 。
Objective\ To evaluate the heatojejunostomy U shape catheter as a tent after tumor resection treatment for the treatment of Klatskin's disease.Methods From Oct.1995 to Nov.2000,Seven cases with tumor in hepatic portal treated by hepatojejunostomy using U shape catheter as a tent after the resection of the tumor were reviewed.Results Postoperative pathologic report showed that negative resection margin present in 5 cases with Klatskin's disease and absented in 2 cases with cholecyst carcinoma with hilar bile duct invading.The mean survival we 11 months and 1 case has been alive over 23 month now.Conclusion The operation of hepatojejunostomy using U shape catheter as a tent after the resection of tumor,which will improve the curative effect of tumors in hepatic portal,can substitute exo drainage operation.
出处
《肝胆外科杂志》
2003年第5期331-333,共3页
Journal of Hepatobiliary Surgery
关键词
肿瘤
肝门部
手术治疗
tumor,hepatic portal,surgery,operation
