老年人Ⅲ、Ⅳ型肝门部胆管癌12例的手术治疗  

DISCUSSION ON ELDERLY Ⅲ,Ⅳ HILAR BILE DUCT CARCINOMA OPERATION TREATMENT

作　　者：王栓铎[1] 王霜[1] 

机构地区：[1]河南省南阳市第二人民医院肝胆外科,473000

出　　处：《中国煤炭工业医学杂志》2013年第2期216-218,共3页Chinese Journal of Coal Industry Medicine

摘　　要：目的探讨老年人Ⅲ、Ⅳ型肝门部胆管癌的有效手术治疗方法。方法回顾总结12例老年人Ⅲ、Ⅳ型肝门部胆管癌采用距肿瘤边缘长约1cm处切断肝内胆管并切除距肿瘤边缘1cm肝组织的手术方法。结果全组患者无围术期死亡及术后胆瘘、吻合口瘘等严重并发症发生,术后1年和2年生存率分别为66.7%、41.7%。结论距肿瘤边缘长约1cm处切断肝内胆管并切除距肿瘤边缘1cm的肝组织的方法是老年人Ⅲ、Ⅳ型肝门部胆管癌的有效方法。Objective To explore effective operation method of the elderly Ⅲ ,Ⅱ of hilar bile duct cancer. Methods The operation method of 12 cases of senile Ⅲ , Ⅳ hilar bile duct cancer using to cut intrahepatic bile duct and liver tissue resection away from the tumor margin round about 1cm was evaluated retrospectively. Results All the patients didn＇t show perioperative mortality, postoperative biliary fistula, anastomotic fistula and other serious complications. The survival rates were 66.70% ,41.7% respectively in postoperative 1,2 years. Conclusion It is an effective method for olderly Ⅲ , Ⅳ of hilar bile duct cancer to cut off intrahepatic bile duct and remove liver tissue from the tumor edge length lcm.

关 键 词：老年 肝门部 胆管 肿瘤 肝组织 

分 类 号：R735.8[医药卫生—肿瘤]