| 肝门部胆管癌根治性切除术48例临床分析 |
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| 引用本文： | 蔡守旺,段伟东,刘哲,赵向前,张文智,王敬,黄晓强,董家鸿,黄志强.肝门部胆管癌根治性切除术48例临床分析[J].中华外科杂志,2009,47(15). |
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| 作者姓名： | 蔡守旺 段伟东 刘哲 赵向前 张文智 王敬 黄晓强 董家鸿 黄志强 |
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| 作者单位： | 解放军总医院肝胆外科,北京,100853 |
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| 摘 要： | 不同肝切除技术的根治切除率和远期疗效.结果 术前19例行经皮经肝胆道引流术,2例行对侧门静脉栓塞术.手术方式包括未切肝或少量肝方叶组织切除8例,中央区域限量肝切除10例,扩大左半肝切除17例,扩大右半肝切除11例,肝中叶切除2例.术后病理显示远端胆管均获得阴性切缘,近端胆管阳性切缘5例.手术死亡1例.总体术后1、3和5年生存率分别为93.5%、51.8%和36.5%.扩大肝切除术后患者长期生存率显著高于限量肝切除和局部切除术(P=0.034).结论 扩大的肝切除术治疗肝门部胆管癌可以获得更好的预后.
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| 关 键 词： | 胆管肿瘤 外科手术 肝切除术 |
Experience from surgical resection for 48 cases of hilar cholangiocarcinoma |
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| CAI Shou-wang,DUAN Wei-dong,LIU Zhe,ZHAO Xiang-qian,ZHANG Wen-zhi,WANG Jing,HUANG Xiao-qiang,DONG Jia-hong,HUANG Zhi-qiang.Experience from surgical resection for 48 cases of hilar cholangiocarcinoma[J].Chinese Journal of Surgery,2009,47(15). |
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| Authors: | CAI Shou-wang DUAN Wei-dong LIU Zhe ZHAO Xiang-qian ZHANG Wen-zhi WANG Jing HUANG Xiao-qiang DONG Jia-hong HUANG Zhi-qiang |
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| Abstract: | d hepatic resection survived significantly longer than those undergoing partial hepatic resection (P = 0. 034). Conclusions Extended hepatic resection for hilar cholangiocarcinoma offers good outcomes with an acceptable mortality rate. |
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| Keywords: | Bile duct neoplasms Surgical procedures operative Hepatectomy |
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