老年肝门胆管癌的外科处理

探讨老年肝门胆管癌的手术治疗特点。方法:回顾性分析湘雅医院1995—2005年手术治疗64例65岁以上肝门胆管癌患者的临床及随访资料。结果:64例均行手术治疗，包括根治性切除26例，姑息性切除10例，内引流术14例，外引流14例。手术切除术后1年生存率62.5%,2年生存率37.5%。结论:老年肝门胆管癌预后不良,手术切除是目前较理想的治疗方式。

Surgical management of hilar cholangiocarcinoma in the elderly

Abstract:Objective:To study the characteristics and surgical treatment of elderly patients with hilar cholangiocarcinoma. Methods:The clinical data and follow-up data of 64 hilar cholangio-carcinoma patients, who aged≥65 years, treated in our hospital from 1995 to 2005 were retrospectively analysed. Results:All 64 cases underwent operative treatment that included radical resection in 26 cases, palliative resection in 10 cases, internal drainage in 14 cases and external drainage in 14 cases. After surgical resection the 1- and 2-year survival rate was 62.5% and 37.5%, respectively.Conclusions:The prognosis of hilar cholangiocarcinoma in the elderly patient is poor. At present, the most effective treatment for hilar cholabgiocarcinoma is surgical resection.