摘要
目的探讨术前减黄及门静脉栓塞预防肝门胆管癌合并大块肝切除术后肝功能衰竭的安全性。方法 2例肝门胆管癌患者行大块肝切除术前先行预留侧肝脏胆道引流以及预切除侧门静脉栓塞术,患者术前Bismuth分型分别为Ⅲa型和Ⅳ型。结果 2例患者术后均存活。术后病理均示为R0切除。结论术前减黄及门静脉栓塞预防肝门胆管癌合并大块肝切除术后肝功能衰竭安全有效。
【Objective】To assess the safety of performing major hepatectomy by preoperative biliary drainage followed by portal vein embolization for hilar cholangiocarcinoma.【Methods】2 hilar cholangiocarcinoma patients who under major hepatectomy were performed with biliary drainage and portal vein embolization before operation.The preoperative Bismuth-corlette types were type Ⅲa and type Ⅳ respectively.【Results】None of patients died after operation.A postoperative pathological examination showed a cancer free margin in all of the proximal resection sites.【Conclusion】Preoperative biliary drainage followed by portal vein embolization may be an effective surgical procedure that can be executed to achieve safety and R0 resection for hilar cholangiocarcinoma which were applied with major hepatectomy.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2012年第22期83-85,共3页
China Journal of Modern Medicine
关键词
胆道引流
门静脉栓塞
大块肝切除术
biliary drainage
portal vein embolization
major hepatectomy
