高位胆管癌的外科治疗

SURGICAL TREATMENT OF HILAR CHOLANGIOCARCINOMA

对高位胆管癌的手术治疗方法进行改进，术中先切除胆囊，探查肿瘤前上界，再低位切断总胆管，必要时同时切断肝动脉一侧分枝，从后方探查肿瘤后上界。这一手术改进，方法安全、简便，能使以往认为难以切除的部分肿瘤得以切除，本文报告近年治疗的１１例高位胆管癌，根治性切除率达５４．５％。

This study,presents the surgical data of 11 cases with cholangiocarcinoma(HCC)treated by the authors.Among the 11 cases,radical resections were performed in 6 cases while biliary drainage operations in 5.The data showed that to resect the gallbladder first to figure out the fore-upper edge of the tumor and then to cut the common bile duct at a level far from the tumor,as well as the right hepatic artery if necessary,to show the upper-postirior edge of the tumor is a helpful operative procedure which is safe,easy and effective.During operation with this procedure some difficult cases can be resected which is useful to the rlise of resection rate.