肝内胆管黏液腺癌的诊治分析(附5例报告)  

A clinical study on intrahepatic mucinous cholangiocarcinoma (a report of 5 cases)

作　　者：王坚[1] 吴志勇[1] 施维锦[1] 季福[1] 孙建华[1] 陈涛[1] 

机构地区：[1]上海第二医科大学附属仁济医院普外科,上海200127

出　　处：《外科理论与实践》2005年第4期335-337,共3页Journal of Surgery Concepts & Practice

摘　　要：目的:探讨肝内胆管黏液腺癌的诊治方法。方法:回顾分析我院5例肝内胆管黏液腺癌的临床表现、手术方法和预后。结果:5例中,2例行左肝切除合并邻近胃、脾切除,1例行U管外引流,1例行T管外引流,1例行肿瘤活检。存活最长的2年,最短者8个月。结论:肝内胆管黏液腺癌术前诊断困难。明确肿瘤部位,进行肝叶或肝段切除是主要的根治方法,U管外引流可适当延长病人的生存时间。Objective To study the clinical diagnosis and treatment of intrahepatic mucinous cholangiocarcinoma.Methods A retrospective study was made on clinical manifestations, operative procedures and prognosis of 5 cases of intraheptic mucinous cholangiocarcinoma. Results Left hemihepatectomy or segmentectomy combined with total gastrectomy and spleentectomy was performed in 2 of the 5 cases. External biliary drainage was carried out through a Utube in 1 case and through a T-tube in the other case. Biospy was done in 1 case. The longest survival time was 2 years and the shortest survival time 8 months. Conclusions It is difficult to make a clear diagnosis for intrahepatic mucinous cholangiocarcinoma preoperatively. Hemihepatectomy or segmentectomy is indicated if feasible after localizing the site of the tumor. External biliary drainage through a U-tube may prolong the patients＇ survival time.

关 键 词：胆管黏液腺癌 诊断 肝切除术 诊治分析 

分 类 号：R735.8[医药卫生—肿瘤]