中晚期肝门部胆管癌26例手术体会  

Experience of surgical operation in 26 cases of medium-term and advanced hilar cholangiocarcinoma

作　　者：李保中[1] 白东晓[1] 魏林生[1] 肖建安[1] 

机构地区：[1]安阳市肿瘤医院外科,河南安阳455000

出　　处：《医学信息（手术学分册）》2008年第5期401-403,共3页Medical Information Operations Sciences Fascicule

摘　　要：目的探讨中晚期肝门部胆管癌的手术方式。方法自2000年9月-2004年1月收治中晚期肝门部胆管癌病人,对26中晚期肝门部胆管癌病人采用了不同的手术方式,对其进行回顾性分析。结果根治性切除组10例,非根治性切除组16例。根治性切除组中位生存期为21.3月,非根治组中位生存期为10.2月,两者有显著差异（P〈0.05）。非根治组中内引流者中位生存期为13.1月,而外引流者中位生存期仅为5.8月,两者有显著差异（P〈0.05）。结论对于中晚期肝门部胆管癌病人尽量手术切除,能够延长患者生存期。无法切除者,桥式胆管空肠吻合内引流术是一种不错的选择。Objective To evaluate surgery therapy manner of medium - term and advanced hilar cholangiocarcinoma. Methods The clinical data of 26 surgically treated patients with medium - term and advanced hilar cholangiocarcinoma admitted into our hospital from September 2000 to January 2004 were retrospectively analyzed. Results Surgical removal was performed in ten cases ,and non -surgical drainage between hepatic bile duct and jejunum was done in sixteen cases. Among the 26 cases who were followed up, ten cases belonged to the surgical removal group and had a median survival of 21.3 months ,and sixteen cases belonged to the non -surgical drainage group and had amedian survival of 10.2 months. There was a signifi - cant difference in the median survival between the two groups （ P 〈 0.05 ）. Conclusions As possible as doing operation of medium - term and advanced hilar cholangiocarcinoma, can prolong the survival time and improve the life qualities of the patients. Sometimes bridge drainage between hepatic duct and je - junum is also a choice.

关 键 词：中晚期 肝门部胆管癌 根治性切除术 桥式胆管空肠吻合内引流术 

分 类 号：R735.8[医药卫生—肿瘤]