联合血管切除重建在肝门部胆管癌外科手术中的应用效果  

Effect of Combined Vascular Resection and Reconstruction in Surgery for Hilar Cholangiocarcinoma

作　　者：陈恩德 CHEN Ende(Wenzhou People's Hospital,Wenzhou,Zhejiang 325000,China)

机构地区：[1]温州市人民医院,浙江温州325000

出　　处：《大医生》2019年第19期57-58,共2页Doctor

摘　　要：目的观察在肝门部胆管癌外科手术中联合血管切除重建的效果。方法选取2016年8月至2019年8月温州市人民医院收治的40例肝门部胆管癌患者分为两组,各20例。对照组行姑息性肿瘤切除、内引流减黄手术治疗,观察组行肝门部胆管癌根治术联合血管切除重建术治疗,对比两组患者治疗效果。结果观察组并发症发生率显著低于对照组(5.00%vs.30.00%,P<0.05);观察组术中出血量高于对照组,手术时间长于对照组,差异有统计学意义(P<0.05)。结论在肝门部胆管癌外科手术中联合血管切除重建能够降低患者术后并发症,提升肿瘤切除率。Objective To observe the effect of combined vascular resection and reconstruction in the surgical treatment of hilar cholangiocarcinoma.Methods From August 2016 to August 2019,40 patients with hilar cholangiocarcinoma in Wenzhou People's Hospital were divided into 2 groups,20 in each group.The control group received palliative tumor resection and internal drainage to reduce jaundice.The observation group received hilar cholangiocarcinoma resection combined with vascular resection and reconstruction.The therapeutic effects of the two groups were compared.Results The incidence of complications in the observation group was significantly lower than that in the control group,with significant difference(5.00%vs.30.00%,P<0.05);the amount of intraoperative bleeding in the observation group was more than that in the control group,and the operation time was longer than that in the control group,with significant difference(P<0.05).Conclusion The combination of vascular resection and reconstruction in the surgical treatment of hilar cholangiocarcinoma can reduce postoperative complications and improve the resection rate.

关 键 词：肝门部胆管癌 外科手术 血管切除重建 

分 类 号：R73[医药卫生—肿瘤]