刮吸解剖法在肝门部胆管癌切除术中的应用  

The Application of Curettage and Aspiration Technique in Operative Dissection of Hilar Cholangiocarcinoma

作　　者：熊炳贤[1] 谢敏[1] 王梦龙[1] 李红浪[1] 

机构地区：[1]江西医学院第二附属医院,330006

出　　处：《实用癌症杂志》2002年第6期631-633,共3页The Practical Journal of Cancer

摘　　要：目的　总结在肝门部胆管癌术中运用刮吸解剖法的手术治疗经验。方法　回顾性分析应用刮吸解剖法手术切除肝门部胆管癌 10例患者的临床资料。结果　手术切除病例占同期总手术病例的 47.6% ( 10 / 2 1) ,其中根治性切除占 2 8.6% ( 6/ 2 1) ,姑息性切除占 19.0 % ( 4 / 2 1) ,无手术死亡者。根治性切除患者中有 2例分别于术后 16个月和 2 1个月死于肿瘤复发 ,有 4例至今仍存活 ,生存 1～ 3 2个月 ,平均生存期为 18个月。姑息性切除术组仅有 1例存活 ,已生存 11个月 ,其余 3例死亡 ,平均生存 10 .5 ( 7～ 15 )个月。结论　刮吸解剖法有助于肝门结构显露 ,增强了肝十二指肠韧带骨骼化程度 ,提高了根治性切除率和生存率 ,是肝门部胆管癌切除术中 1种实用、简便且安全的手术操作方法。Objective To summarize the experience of the application of Curettage and Aspiration Technique(CAT) in cholongiocarcinoma(HC).Methods A retrospective analysis was made on 10 patients underwent operation for HC from.Results The tumor resection rate was 47.6%(10/21) in this series,radical resection rate was 28.6%(6/21),palliative resection was 19.0%(4/21).No operative death occured.2 patients treated with radical resection died of tumor recurrence in 16 months and 21 months postoperation respectively,4 patients are still a live,the survival time of them was 1 to 32 months respectively.The median survival time was 18 months.In palliative resection group was only 1 patient still a live,the survival time has been 11 months,the rest 3 patients had died,the average survival time was 10.5(7～15) months.Conclusion CAT as a method for operation is very helpful to expose operative field,increase the skeletonzation of ligament of liver duodenum and increase the radical resection rate and survival rate.It is practical simple and safe method for HC resection.

关 键 词：胆管癌 外科手术 彭氏多功能手术解剖器 刮吸解剖法 

分 类 号：R735.8[医药卫生—肿瘤] R730.[医药卫生—临床医学]