改良式第Ⅲ肝段肝内胆肠吻合术在无法切除的肝门部胆管癌中的应用

A modification of segment Ⅲ intrahepatic cholangiojejunostomy in hilar bile duct carcinoma

目的:提高无法切除的肝门部胆管癌病人的生活质量,改进第Ⅲ肝段肝内胆肠吻合术。方法:回顾分析15例改良式第Ⅲ肝段肝内胆肠吻合术,讨论其在治疗晚期肝门部胆管癌病人应用。结果:所有的病人手术均顺利进行,无严重并发症发生。结论:改良式第Ⅲ肝段肝内胆肠吻合术在治疗晚期肝门部胆管癌中,减黄效果好,胆漏少,为一个合理安全的术式。

Objective： To improve the quality of life in patient with unresectable hilar bile duct carcinoma, the segment Ⅲ intra- hepatic cholangiojejunostomy was modified. Methods： Fifteen cases of the modified segment Ⅲ intrahepatic cholangiojejunostomy were reviewed. The value of this technique was evaluated in the unresectable hilar bile duct carcinoma. Results： All the patients received the operation without severe complications. Conclusion： In the unresectable hilar duct carcinoma patients, the modified segment III intrahep- atic cholangiojejunostomy was characterized with a better palliative outcome and little bile leakage.