摘要
作者总结了33例高位胆管癌的治疗。其中手术切除27例（81．8％），平均存活20．2个月；单纯引流5例（15．2％），平均存活7．7个月，探查取活检1例（3％），术后存活3个月；无手术死亡。手术方式包括肝外胆管癌切除，肝方叶切除加肝外胆管癌切除，左半肝切除、尾叶切除加肝外胆管癌切除，肝内胆管一空肠Roux—Y吻合术。作者认为：高位胆管瘤的治疗以手术切除为主，应做到早期诊断和早期治疗。对于不能切除病例，应设法减轻黄疸。本文着重对不同类型胆管癌手术对策进行了探讨。
The authors report the therapy results of 33 cases of carcinoma at upper bile ductules. 27 cases experienced surgicalresection (81. 8% ) with 20. 2 months of suriyal time; 5 cases were performed simple drainage (15. 2% ) with 7. 7 monthes of sruvival time,and biopsy was carried out in 1 cases (3%) with 3 months of surivival period. There were no operative mortality. Themethods of operation include resection of peribepatic cholangiocarcinoma,resection of the square lobe and outer bile ductules caroinoma,semi-hepatic resection of left side,resection of rear lobe and outer bile ductules carcinoma,and intraheptic bile ductules jeajunum Roux-en-Y ligation. The authors consider that resection is the main method for the treatment of upper bile ductule carcinoma,and the early diagnosis and early therapy are preferred. For cases that can't be conducted by resection,jaundice should bereduced.
出处
《肝胆外科杂志》
1998年第3期165-166,共2页
Journal of Hepatobiliary Surgery
关键词
高位
胆管癌
治疗
外科手术
Upper bile ductule carcinoma Operative therapy
