老年肝门部胆管癌围手术期处理与手术治疗

目的：探讨老年肝门部胆管癌围手术期处理与手术治疗方法.方法：回顾性分析解放军总医院肝胆外科1993-01～2004-12收治的120例老年性肝门部胆管癌手术患者的临床资料.结果：120例手术患者中,根治性切除37例,姑息性切除35例,胆管引流45例,其他手术3例.术后37例（30.8%）出现并发症,大多为胆汁瘘与腹水,死亡1例（0.8%）,死于术后肝肾功能衰竭,余治愈出院.结论：加强围手术期处理,选择合理手术方式,可提高手术的安全性,使术后恢复顺利.

Perioperative management of hilar bile duct carcinoma in elderly patients

Objective:To discuss the perioperative management of hilar bile duct carcinoma in elderly patients.Method:Clinical data of 120 cases(aging from 60 to 78) of hilar bile duct carcinoma underwent surgical procedures in General hospital of PLA from 1993 to 2004 were analyzed retrospectively.Result:Of the 120 patients,72 patients were underwent resection(radical resection in 37 and palliative in 35),45 patients received internal or external drainage,and 3 patients experienced other surgical procedure.The complications occured in 37 cases(30.8%),most of which were biliary fistula and ascites.One patient died of liver failure and kidney failure.Conclusion:Enhancing the perioperative management and choosing the preferable surgery were critical to the success of hilar bile duct carcinoma surgery and the postoperative recovery for elderly patients.