联合肝脏切除治疗肝门部胆管癌(附21例报告)

目的评价联合肝脏切除治疗肝门部胆管癌的临床效果。方法回顾性分析21例肝门部胆管癌联合肝脏切除的临床资料。结果联合行右半肝切除术者5例,左半肝切除者12例,其他方式4例。术后并发症发生率27.5%,无围手术期死亡,随访1、3、5年的生存率为67.5%、27.6%、18.4%。结论肝门部胆管癌联合肝脏切除可以提高术后生存率,改善预后。

Surgical treatment of hilar eholangiocareinoma with combined hepatic resection(21 cases report)

Objective To evaluate the effect of surgical treatment of hilar cholangiocarcinoma with combined hepatic resection.Methods The clinical data of 21 cases with cholangiocarcinoma were analyzed retrospectively.Results All of 5 cases were performed with right hemihepatectomy,12 cases undergoing with left hemihepatectomy and 4 cases with other methods of precedures.There were no patients died during perioperation,while the incidence of surgical compications was 27.5%.The 1,3,5years of survival rate were 67.5%,27.6% and 18.4% respectively. Conclusion The redical approach with combined hepatic resection is effective to improve survival rates in patients with hilar cholangiocarcinoma.