| 肝叶切除术在肝门部胆管癌治疗中的作用 |
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| 引用本文： | 何晓顺,黄洁夫.肝叶切除术在肝门部胆管癌治疗中的作用[J].中国普通外科杂志,1999,8(2):107-109. |
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| 作者姓名： | 何晓顺 黄洁夫 |
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| 作者单位： | 中山医科大学附属第一医院外科 |
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| 摘 要： | 目的探讨肝叶切除术在肝门部胆管癌治疗中的作用。方法回顾性分析了１９９１年１月～１９９５年１２月间收治的５２例肝门部胆管癌的临床资料。结果５２例中手术切除１７例，切除率３２７％，手术死亡率为５９％。切除组中１４例兼行不同范围的肝叶切除，其中８例为治愈性切除，治愈性切除组与姑息性切除组平均生存期为２１１个月和７５个月（Ｐ＜０．０５）。切除组与引流组疗效有显著性差异（Ｐ＜０．０５）。结论联合肝叶切除术可提高肝门部胆管癌的治愈性切除率，改善术后病人的预后。
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| 关 键 词： | 胆管肿瘤／外科手术 肝切除术 |
The role of combined liver resection in the treatment of hilar bile duct cancer |
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| He Xiaoshun,Huang Jiefu,Liang Lijian,Lu Mingde and Cao Xiuhu.The role of combined liver resection in the treatment of hilar bile duct cancer[J].Chinese Journal of General Surgery,1999,8(2):107-109. |
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| Authors: | He Xiaoshun Huang Jiefu Liang Lijian Lu Mingde and Cao Xiuhu |
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| Institution: | He Xiaoshun,Huang Jiefu,Liang Lijian,Lu Mingde and Cao Xiuhu Department of Surgery,First Affiliated Hospital of Sun Yat sen University of Medical Science,Guangzhou 510080 |
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| Abstract: | Objective To study the effect of hepatectomy on the treatment of hilar bile duct cancer (HBDC). Methods The clinical data of fifty two consecutive patients with hilar bile duct cancer treated in our hospital were analysed retrospectively. Results Seventeen of them underwent resection, the resectability rate was 32.7% and a mortality rate was 5.9%. Fourteen cases subjected to combined liver resections. Radical resection was achieved in 8 patients. The mean survival time was 21.1 moths for those who had curative resection and 7.5 months for those who did not. Conclusions Combined liver resection plays an important role in the treatment of hilar bile duct cancer as it provides better outcome in this patients. S |
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| Keywords: | BILE DUCT NEOPLASMS/SU HEPATECTOMY |
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