原发性肝癌伴胆管癌栓的外科处理

目的 探讨原发性肝癌合并胆管癌栓的外科治疗及其疗效。方法 对浙江省台州市中心医院1995年1月至2007年10月收治的13例原发性肝癌合并胆管癌栓的治疗情况进行回顾性总结和分析。结果 肝癌切除加胆管癌栓清除术10例，单纯胆管切开取栓术3例。7例获得随访，3例1年内死亡，3例存活1到4年，1例至今存活6年。结论 原发性肝癌伴胆管癌栓行外科治疗是一种积极有效的治疗方法。

Surgical intervention of primary hepatic carcinoma with bile duct thrombi

Surgical intervention of primary hepatic carcinoma with bile duct thrombi YANG Xiao-Ping*, BO Jian-Guo, CAI Xiu-Jun.*Department of General Surgery, Zhejiang Taizhou Central Hospital ,Taizhou 318000 ,China Abstact Objective To study the surgical intervention of primary hepatic carcinoma (PHC) with bile duct thrombi (BDT). Methods Restrospective study was performed on the treatment of 13 cases of PHC with bile duct thrombi from 1995 to 2007.　Results The operative procedures included hepatectomy with removal of BDT (n=10),thrombectomy through bile duct (n=3). 7 patients were followed up, 3 patients were died in one year , 3 patients were survived in 1~4 years, one patients was survived over 6 years. Conclusion Surgical intervention was effective for patients with PHC and BDT.