摘要
目的探讨小肝癌合并胆管癌栓的手术方式及疗效。方法回顾性分析14例小肝癌合并胆管癌栓患者的临床资料。结果单纯胆总管切开取栓术4例,术后平均生存7个月。肝局部切除加胆总管切开取栓术3例,2例患者术后分别生存4、21个月,1例患者术后2个月复发再手术。左或右半肝切除加胆总管切开取栓术8例次,其中3例同时行肝外胆管切除和重建,术后分别生存55、53、44(仍存活)、31(仍存活)、29、18、11(仍存活)和1个月。结论规则性半肝切除,同时切除受侵的肝外胆管,可能有助于提高小肝癌合并胆管癌栓患者的远期生存率。
Objective To investigate the surgical approaches and effects for small hepatocellular carcinoma （HCC） with biliary tumor thrombi. Mothods The clinical data of 14 small HCC patients with biliary tumor thrombi who underwent surgical intervention were analyzed retrospectively. Results The postoperative mean survival time of patient with removal of biliary tumor thrombi （n = 4） was 7 months. Three patients underwent limited hepatectomy and removal of biliary tumor thrombi, 2 of them survived 4 and 21 months respectively, the other cases underwent second operation 2 months later for recurred tumor in liver. Eight patients underwent left or right hemihepatectomy and removal of biliary tumor thrombi, 3 of them combined with extrahepatic bile duct resection and reconstruction. Survival times of these patients were 55 months, 53 months, 44 months（still alive）, 31 months（still alive）, 29 months, 18 months, 11 months（still alive） and 1 month respectively. Conclusions Regular hemihepatectomy, meanwhile combined with the invaded extrahepatic bile duct resection, might help to prolong the survival time of patients of small HCC with biliary tumor thrombi.
出处
《中国医师进修杂志（外科版）》
2006年第3期69-70,共2页
Chinese Journal of Postgraduates of Medicine
关键词
癌
肝细胞
胆管癌栓
Hepatocellular carcinoma
Biliary tumor thrombi
