裙边式肝肠内引流治疗肝门部恶性胆道梗阻

【目的】探讨裙边式肝肠内引流治疗晚期肝门部恶性肿瘤所致的胆道梗阻病人的疗效,以提高患者的生存期和生活质量。【方法】对43例晚期肝门部恶性胆道梗阻的病人施行多肝段切除的裙边式肝肠内引流术并进行随访。【结果】全组病例无手术死亡,并发吻合口瘘3例,上消化道出血11例,反流性胆管炎27例,术后总胆红素平均下降62.3%,随访39例,平均生存期13.1个月。【结论】该术式是晚期高位恶性胆道梗阻的病人姑息性治疗的一种有效的办法。

Skirt-edge Modal Hepatoenterostomy for the Treatment of Malignant Hilar Biliary Obstruction

Objective] To explore the survival time and quality of the patients with malignant hilar biliary obstruction treated by skirt-edge modal hepatoenterostomy. Methods] The operation was applied to 43 patients diagnosed malignant hilar biliary obstruction. The efficiency of the operation was continuously inspected after operation. Results] None of the patient died from the operation. Postoperative complications were stoma fistula in 3 patients, upper gastrointestinal hemorrhage in 11, and reflux cholangitis in 27. After operation, serum total bilirubin (STB) of patients decreased 62.3% averagely, and median survival time was 13.1 months. Conclusion] This operation is an efficiently palliative therapy for the patients with advanced malignant hilar biliary obstruction.