肝门部胆管癌52例外科治疗体会

目的:探讨肝门部胆管癌的治疗方法。方法:回顾性分析我院1996￣2004年间52例肝门部胆管癌的临床病例资料。结果:手术切除组、手术引流组、介入支架组及剖腹探查组的平均生存时间分别为19.08、6.6、4.3、1.2个月。围手术期死亡2例。结论:肝门部胆管癌肿瘤切除术疗效明显优于其他治疗方式,对此病患者应积极争取行根治性切除术。对不能切除病例积极行引流术治疗,以延长生命、提高生存质量。

Retrospective analysis of surgical treatment of hilar cholangiocarcinoma in 52 cases

Objective To evaluate the therapeutic methods for hihr cholangiocarcinoma. Method Retrospective analysis of surgical management was performed on patients with hilar cholangiocarcinoma in China-Japan Union Hospital from January 1996 to January 2004. Results The mean survival time in surgical resection group ,bile drainagy group, metal stent implantation or bile drainage through endoscopic or percutaneous transhepatic approach group and exploratory laparotomy group were 19.08,6.6,4.3 and 1.2 mouths.Two patients died of hepatic and renal failure after surgery. Conclusion The surgical resection surpasses other therapy in the long-term curative effect, radical resection should be accomplished if it is feasible. If the tumor could not be resected , select drainage and support treatment should be chosed in order to prolong survival times and improve life quality.