肝门部胆管癌的治疗  

The surgical treatment of hilar bile duct carcinoma

作　　者：陆立[1] 郝志强[1] 谭振刚[1] 栾晓丹[1] 刘景坤[1] 白世强[1] 王蔓[1] 

机构地区：[1]解放军第230医院普通外科、病理科,丹东118000

出　　处：《丹东医药》2007年第3期13-15,共3页

摘　　要：目的探讨肝门部胆管癌的外科治疗方法和效果。方法回顾性分析经手术和病理检查确定诊断的肝门部胆管癌51例的临床特征、手术方式和结果。结果肿瘤切除17例，其中根治性切除7例，姑息性切除10例。胆肠吻合15例，单纯探查活检6例，胆道支架置入13例。根治性切除组1、3、5年生存率分别为71％、42％和28％。姑息性切除、胆肠吻合和胆道支架置入组1年生存率分别为20％、0％和31％。结论根治性切除是唯一能治愈肝门部胆管癌的首选方法，如无法根治切除，胆道支架置入是更为可取的治疗方法。Objective To evaluate the effect and method of surgical treatment for hilar bile duct carcinoma. Methods The clinicopathological variables and follow-up data of 51 patients with hilar bile duct carcinoma were retrospectively analyzed. Results Seventeen patients who underwent resections （There radical resection in 7 cases, palliative resection in 10 cases among them） , choledochjejunostomy in 15 cases, laparotomy in 6, and stem placement in 13 cases. The 1, 3, 5-year survival rate of patients treated by radical resection was 71%, 42% and 28% respectively. The 1-year survival rate of palliative resection, choledochjej, unostomy and stent placement was 20% , 0% and 31% respectively. Conclusion The radical resection is first choice and the only cure method for hilar bile duct carcinoma. The biliary stent placement is the primary treatment when radical resection fails.

关 键 词：胆管癌 胆道外科手术 

分 类 号：R735.8[医药卫生—肿瘤]