肝外胆管癌的诊治分析

目的：探讨肝外胆管癌的诊断和治疗的体会。方法：回顾性总结手术治疗的32例肝外胆管癌的临床资料、手术方式、手术并发症及生存率，并复习相关文献资料。结果：本组病例获根冶性切除14例，姑息切除2例，胆道引流术16例；手术并发症10例(31.3％)，手术死亡1例(3．1％)。其中22例获定期随访，存活一年以上的有12例(12／22)，至今存活8例。结论:早期诊断、正确的评估、合理的术式选择能提高疗效。降低手术并发症及死亡率。

Diagnosis and treatment of the Cholangiocarcinoma

Objective To summarize the methods of diagnosis and operation of Cholangiocar-cinoma. Methods Clinical data,surgical procedures, operative complications and survival rate of 32 cases with cholangiocarcinoma were analyzed retrospectively,and related archives were reviewed.Results Among them,14 cases underwent radical resection,2 cases palliative resection and 16 cases only simple drainage. Operative complications were found in 10 cases,operative death in 1 cases. 22 cases had been followed up periodically and 12 of them had survived for more than one year (12/32).Conclusion Early diagnosis ,corrected evaluation and reasonable surgical procedure can improve the curative effect and decrease the rate of the operative complication and mortality.