摘要
目的分析肝门部胆管癌的诊断和治疗方法。方法回顾性分析2004年11月至2009年12月收治的14例肝门部胆管癌的临床资料,复习近年来肝门部胆管癌的诊治文献。肝门部胆管癌无临床特异性,肝门部胆管癌切除者行高位胆肠Roux-en-Y吻合术,未切除者行姑息性治疗或内引流、外引流术。结果 14例患者中8例行根治性切除,2例行姑息性切除(胆肠内引流),3例行U型管引流术,1例因肿瘤广泛转移,阻塞肝门,胆总管中段只有1cm范围组织较软,行T型管外引流术。结论肝门部胆管癌外科手术治疗是主要手段。根治性切除的原则是:两切断端无癌残留,肝内无转移,无淋巴结转移。术前正确评价可切除性,术中选择正确的术式是获得较好预后的关键。
Objective To analyze the diagnosis and treatment methods of 14 cases with hilar cholangiocarinoma.Methods Clinical data of 14 patients with hilar cholangiocarinoma from 2004 to 2009 were analyzed retrospectively.Results of 14 patients,8 underwent radical resection,2 underwent palliative resection and 4 was subjected to nonresectional surgical treatment.Conclusion Operation is the main treatment methods.The principle of the radical operation is that there is no cancer cell in two stumps,No lymphatic metastasis,no liver metastasis The perfect prognosis of hilar cholangiocarcinoma depende on exact preoper-ative evaluation of resectability and choosing a rational surgical procedure.
出处
《肝胆外科杂志》
2010年第4期276-277,共2页
Journal of Hepatobiliary Surgery
关键词
肝门部胆管癌
外科手术
预后
hilar cholangiocarcinoma
surgical procedures
prognosis
