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目的 讨论肝细胞癌伴胆管癌栓致黄疸的外科手术治疗及其效果。方法 回顾性总结和分析 1987～ 2 0 0 0年来我科收治的 5例胆管癌栓致肝细胞癌伴发黄疸的诊治情况及预后。结果 行肝癌切除术、胆管癌栓取出、T管引流术后 ,4例生存 1年以上 ,无手术死亡。结论 肝癌伴黄疸者并非绝对手术禁忌 ,需考虑到伴有胆管癌栓的可能。肝癌切除、胆管切开癌栓取出术是本病积极、有效的治疗方法。
Objective To discuss the surgical treatment of hepatocellular carcinoma with jaundice caused by cholangiocarcinoma and its effect. Methods The diagnosis and treatment of hepatocellular carcinoma with jaundice in 5 cases of cholangiocarcinoma admitted to our department from 1987 to 2000 were retrospectively summarized and analyzed. Results After hepatectomy, cholangiocarcinoma embolization and T-tube drainage, 4 patients survived for more than 1 year without any surgical death. Conclusion Liver cancer with jaundice is not an absolute contraindication to surgery, need to be considered with the possibility of cholangiocarcinoma. HCC resection, cholangiocarcinoma removal is a positive and effective treatment for this disease.