间置深静脉导管肝内胆管空肠内引流术治疗不能切除的肝门部胆管癌14例

Inserting deep vein catheter between introhepatic bile duct and jejunum iuternal drainage for the treatment of cancer of bile duct in porta hepatis which cannot been resected--attached 14 cases of report

[背景 ]探索一种新的能改善肝门部胆管癌患者生存质量的手术方法 .[病例报告 ]手术方法为穿刺找到能有效引流的肝内胆管 ,置入深静脉导管 ,导管另一端经肝圆韧带隧道置入空肠内 ,并将空肠与肝圆韧带固定 .给 14例肝门部胆管癌患者行此手术 ,术后减黄效果良好 ,随访 2～ 5个月 ,无胆漏、肠漏和逆行感染发生 .[讨论 ]间置深静脉导管肝内胆管空肠内引流术操作简单 ,效果良好 。

BACKGROUND?To search after a new operation for improving quality of life in the patients with carcinoma of bile duct in portal hepatis.?CASE REPORT?A intrahepatic bile duct for effective drainage was searched by puncturing from portal hepatis, then put a deep vein catheter into it and another end of catheter was putted into jejunum by tunnel in round ligament of liver and fixed the jejunum to round ligament of liver.14 cases had favorable effects in decreasing jaundice after operation, all of cases was followed up from 2 to 5 months and there were no cases occurred biliary fistula, intestinal fistula and retrograde infection.?DISCUSSION?This method is easy to be operated, and the operative effects are favorable and superior obviously to traditional operation in decreasing jaundice.