摘要
目的探讨肝门部胆管癌的外科治疗方法和效果。方法回顾性分析经手术和病理检查确定诊断的肝门部胆管癌51例的临床特征、手术方式和结果。结果肿瘤切除17例，其中根治性切除7例，姑息性切除10例。胆肠吻合15例，单纯探查活检6例，胆道支架置入13例。根治性切除组1、3、5年生存率分别为71％、42％和28％。姑息性切除、胆肠吻合和胆道支架置入组1年生存率分别为20％、0％和31％。结论根治性切除是唯一能治愈肝门部胆管癌的首选方法，如无法根治切除，胆道支架置入是更为可取的治疗方法。
Objective To evaluate the effect and method of surgical treatment for hilar bile duct carcinoma. Methods The clinicopathological variables and follow-up data of 51 patients with hilar bile duct carcinoma were retrospectively analyzed. Results Seventeen patients who underwent resections （There radical resection in 7 cases, palliative resection in 10 cases among them） , choledochjejunostomy in 15 cases, laparotomy in 6, and stem placement in 13 cases. The 1, 3, 5-year survival rate of patients treated by radical resection was 71%, 42% and 28% respectively. The 1-year survival rate of palliative resection, choledochjej, unostomy and stent placement was 20% , 0% and 31% respectively. Conclusion The radical resection is first choice and the only cure method for hilar bile duct carcinoma. The biliary stent placement is the primary treatment when radical resection fails.
关键词
胆管癌
胆道外科手术
hilar bile duct carcinoma, surgical treatment
