摘要
目的：探讨老年肝门部胆管癌围手术期处理与手术治疗方法.方法：回顾性分析解放军总医院肝胆外科1993-01～2004-12收治的120例老年性肝门部胆管癌手术患者的临床资料.结果：120例手术患者中,根治性切除37例,姑息性切除35例,胆管引流45例,其他手术3例.术后37例（30.8%）出现并发症,大多为胆汁瘘与腹水,死亡1例（0.8%）,死于术后肝肾功能衰竭,余治愈出院.结论：加强围手术期处理,选择合理手术方式,可提高手术的安全性,使术后恢复顺利.
Objective： To discuss the perioperative management of hilar bile duct carcinoma in elderly patients. Method： Clinical data of 120 cases （aging from 60 to 78） of hilar bile duct carcinoma underwent surgical procedures in General hospital of PLA from 1993 to 2004 were analyzed retrospectively. Result：Of the 120 patients, 72 patients were underwent resection （radical resection in 37 and palliative in 35）, 45 patients received internal or external drainage, and 3 patients experienced other surgical procedure. The complications occured in 37 cases （30. 8%）, most of which were biliary fistula and ascites. One patient died of liver failure and kidney failure. Conclusion：Enhancing the perioperative management and choosing the preferable surgery were critical to the success of hilar bile duct carcinoma surgery and the postoperative recovery for elderly patients.
出处
《中国误诊学杂志》
CAS
2006年第15期2870-2872,共3页
Chinese Journal of Misdiagnostics
关键词
胆管肿瘤/外科学
手术期间
Bile duct neoplasms/surgery
Intraoperative period
