摘要
目的 探讨肝门部胆管癌的外科手术方式。方法 对近 6年来收治的 31例肝门部胆管癌病例的手术方式进行回顾性分析。结果 31例手术治疗的病例中 ,行根治性切除 7例 ,姑息性切除 5例 ,总切除率为 38.7%。行各种引流术 17例 ,包括外引流 2例 ,内引流 15例 ,占总数的 5 4 .8%。探查术 2例 ,占总数的 6 .5 %。结论 肝门部胆管癌一旦确诊 ,应积极手术治疗 ,尽管有根治性切除率低、手术风险大等 ,但即使姑息性切除 ,甚至引流术也可有效解除黄疸、提高病人生活质量和延长生存期。
Objective To evaluate the surgical methods for hilar cholangicarcinoma.Methods The surgical methods were retrospectively analysed on 31 cases of hilar cholangiocarcinoma admitted into our hospital during the last six years.Result 7 cses were underwent radical resection.5 cases were underwent palliative resection.Total resecting rate was 38.7%.Various drainage were performed on 17 cases including external drainage in 2 cases and internal drainage in 15 cases was 54.8% of total.2 cases were underwent exploration,which was 6.5% of total.Conclusion Once hilar cholangiocarcinoma was diagnosed,surgical treatment should be performed,though lower radical resection rate and high surgical risk existed.Palliative resection,and drainage procedures can relieve jaundice effectively,improve patient's life quality and prolong survival period.
出处
《肝胆外科杂志》
2004年第6期416-417,共2页
Journal of Hepatobiliary Surgery
关键词
胆管癌
外科手术
Cholangiocarcinoma
Surgical procedures
