肝门部胆管癌手术治疗中肝叶切除的作用

目的：探讨肝门部胆管癌手术治疗中肝叶切除的作用。方法：回顾分析1995－2001年间收治的75例肝门部胆管癌的临床资料。结果：75例中手术切除30例，切除率40％，术中死亡和手术死亡率为5．9％，切除组中14例兼行不同范围的肝叶切除，其中8例为治愈性切除，治愈性切除组与姑息性切除组平均生存期为21．1个月和7．5个月（P＜0．05）。切除组与引流组疗效差异有显著性（P＜0．05）。结论：联合肝叶切除术可提高肝门部胆管癌的治愈切除率，改善术后病人的预后。

The role of combined hepatolotectomy in the treatment of hilar bile duct cancer.

Objective:To study the role of hepatolotectomy in the treatment of hilar bile duct cancer(HB-DC).Methods:The clinical data of seventy-five patients with hilar bile duct cancer treated in our hospital from 1995 to 2001 were analysis retrospectively.Results:Of 75 patients with hilar bile duct cancer,30 were performed operative resection,the excision rate was 40% and the death rate was 5.9%.14 cases in the excision group were performed hepatolotectomy with different ranges,in which radical resection was done in 8 cases.The mean survival period was 21.1 months for those in the redical resection group and 7.5 months for those in the palliative resection group,there was a significant difference between them(P<0.05).Conclusion:Combined hepatolotectomy may raise the radical resection rate of hilar bile duct cancer and improve the prognosis after operation.