肝门部胆管癌的手术治疗

The Key to the Improvement of the Effect of the Bile Duct Cancer in Porta Hepatis Lies in Operation Excision

目的总结肝门部胆管癌的外科治疗预后的效果。方法回顾分析近8年来我院外科手术治疗31例肝门部胆管癌病例,比较各术式术后生存率。结果31例均为肝门部电凝锐性解剖,其中行根治性切除11例,行姑息切除9例,行周围胆管空肠吻合术7例,行U管引流术4例。根治切除、姑息切除、胆管空肠吻合术和U管引流组病人的平均生存期分别是(38.32±26.24)个月,(16.12±14.43)个月,(4.46±3.18)个月,(3.32±3.24)个月。切除组病人的生存期显著长于姑息性手术组(P<0.01),且生活质量显著提高。结论根治性切除可提高肝门部胆管癌病人的长期生存率,预后效果显著。

Objective To summarize the effect of the bile duct cancer in porta hepatis treated with operation . Methods To review 31 patients of bile duct cancer in tx）rta hepatis treated with operation in recent 8 years in our hospital, and compare the rates of existence of all types of operations. Results 31 patients were operated with hilar sharp dissection with electric coagulation. Radical resec- tion 11, palliative resection 9, bile duct and jejunum anastomosis 7, U tube drainage 4. Their median survival dates were 138.32 ± 26. 24） months, [ 16.12 ± 14.43） months, [4.46 ±3.18） months, [3.32 ± 3.24） months. The existence periods of excision group are obviously longer than that of the palliative operation group [ P〈0. 01）, and the life quality was improved a lot. Conclusion Radical resection can improve the existence rate and the prognosis is better.