肝胆管结石合并胆管癌的诊治

目的 :讨论肝胆管结石合并胆管癌的临床特点和诊治方法。方法 :对 11例肝胆管结石合并胆管癌的临床资料进行回顾性研究。结果 :本组肝胆管结石合并胆管癌的术前确诊率为 18.2 % (2 /11) ;术中冰冻病理检查确诊 2例 ;术后病理证实 7例。肝门胆管癌 72 .7% (8/11) ,中段胆管癌 9.1% (1/11) ,下段胆管癌 18.2 % (2 /11)。肿瘤根治切除率 36 .4 % (4/11) ,姑息性手术 6 3.6 % (7/11)。结论 :提高对本病的认识及详细的术中探查是及早发现胆管癌的重要途径。胆管癌根治性切除明显优于姑息性手术。

Diagnosis and Treatment of Hepatolithiasis with Cholangiocarcinoma

Aim To investigate the clinical features, diagnostic and therapeutic methods of hepatolithiasis with cholangiocarcinoma. Methods To analyze the clinical data of 11 cases of hepatolithiasis with cholangiocarcinoma. Results In the 11 patients, diagnosis rate of preoperative was 18.2 %(2/11), two of them were diagnosed in operative pathologic examination, senven of them wewe diagnosed through pathologic examination postoperatively. Radical resection rate was 36.4 %(4/11) and those rate who did not radical resection was 63.6 %(7/11). Hilar cholangiocarcinoma was 72.7 %(8/11), middle-cholangiocarcinoma was 9.7 %(1/11),down-cholangiocarcinoma 18 %(2/11)。Conclusion It is important to find cholangiocarcinoma earlier by paying great attention and operative exploration carefully.The radical resection operation is better in cholangiocarcinoma.