摘要
1991年1月至1995年12月，本院收治高位胆管癌52例，手术切除17例，切除率32．7％。切除组中2例Ⅰ型和1例Ⅱ型肿瘤行单纯局部切除，14例行联合肝叶切除；其中1例Ⅱ型行尾叶切除，1例Ⅱ型和3例ⅢA型行肝中叶切除，8例ⅢB型行左半肝切除，1例ⅢA型行右半肝切除。镜下治愈性切除率为15．4％（8／52）。治愈性切除组平均生存期为21．1月，姑息性切除组则为7·5个月（P＜0·05）。切除组手术死亡率为5·9％（l／7）。我们认为根据肿瘤的临床分型，合理选用不同手术切除方式是改善高位胆管疗效的关键因素。
From January 1991 to December 1995, 52 consecutive patients with hilar bile duct cancer were treated in our hospital. Seventeen of them underwent resection with a resectability rate of 32. 7 %. According to the classification of tumours,the different types of resection were adopted as following:local resection for 3 cases,local resection plus caudate lobe or median segment resection in 5 cases,local resection combined right of left hemihepatectomy in 9 cases. Eight of 17 resected patients(15. 4% )had curative resection and 9 did not obtained curability with mean survival of 21. 1 and 7. 5 months respectively. The survival rate of the resected patients was significatly higher than that of the patients who underwent binary decompression,with a 5. 9% operative mortality rate. The results indicate that proper procedures based on the classification of tumours offer the best possibility of prolonged survival with a good quality of life for patients with hilar bile duct cancer.
出处
《肝胆外科杂志》
1998年第2期70-72,共3页
Journal of Hepatobiliary Surgery
关键词
高位胆管癌
临床分型
切除方法
治疗
Hilar bile duct cancer Tumour classification Surgical resection
