肝癌肝中叶切除并胆管重建一例  

Mesohepatectomy combined with bile duct reconstruction for the treatment of hepatic cancer： a report of one case

作　　者：孙诚谊[1] 刘兴贵[1] 郭宇廷[1] 李晓隆[1] 朱海涛[1] 

机构地区：[1]贵阳医学院附属医院肝胆外科,550001

出　　处：《中华消化外科杂志》2013年第1期71-73,共3页Chinese Journal of Digestive Surgery

摘　　要：肝癌的治疗方案是以手术治疗为主的综合治疗，肝切除术仍是最有效的治疗方式。肝癌侵犯胆管时，肝切除术后胆管重建是难点。本文回顾性分析1例肝中叶肝癌侵犯左、右肝管患者的临床资料和治疗过程，旨在探讨该类疾病的手术治疗。Comprehensive treatment dominated by surgery is the mainstay in the treatment of hepatic cancer, and hepatectomy is still the most effective treatment method. Bile duct reconstruction after hepatectomy is still the difficult point for the treatment of hepatic cancer complicated by bile duct invasion. A 45yearold patient with hepatic cancer and gallstone was admitted to the Affiliated Hospital of Guiyang Medical College, magnetic resonance cholangiopancreatography and enhanced computed tomography indicated that intrahepatic duct was dilated and tumor had invaded both left and right hepatic ducts. Cholecystectomy, mesohepatectomy, duct to duct anastomosis of left hepatic duct and common hepatic duct, duct to duct anastomosis of right hepatic duct and cystic duct were performed during the operation. The patient was cured 2 weeks after surgery.

关 键 词：肝肿瘤 肝中叶切除 胆管重建 

分 类 号：R735.7[医药卫生—肿瘤]