肝门部胆管癌扩大根治术中肝动脉重建九例分析

Hepatic artery reconstruction during radical surgery for treatment of hilar cholangiocarcinoma (A report of 9 cases)

目的 总结肝门部胆管癌扩大根治术中肝动脉重建的临床经验。方法 对 9例合并肝动脉侵犯肝门部胆管癌患者进行联合肝动脉重建肝门部胆管癌扩大根治术。结果 联合肝动脉重建肝门部胆管癌扩大根治术的患者术后 3 0d无并发症发生。 2例 2 3个月内复发死亡 ,7例术后恢复良好 ,重建肝动脉通畅。结论 联合肝动脉重建肝门部胆管癌扩大根治术可以达到肉眼根治的目的 ,不仅可以提高手术的切除率 ,而且可以减少术后并发症的产生。

Objective To sum up the clinical experience of hepatic artery reconstruction during radical surgery for treatment of hilar cholangiocarcinoma.Methods Nine cases of hilar cholangiocarcinoma with hepatic artery invasion were subjected to radical surgery in combined with hepatic artery reconstruction.Results The recovery of the patients who received radical surgery combined with hepatic artery reconstruction was satisfactory.No complication occurred in 30 days after surgery.Two cases died of recurrence in 23 months after surgery and the remaining survived.Conclusion The radical surgery in combination with hepatic artery reconstruction can increase the resection rate and decrease the postoperative complications.