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目的:探讨高位胆管癌的手术方式及其临床意义。方法:对49例高位胆管癌患者的临床资料进行了回顾性分析。49例高位胆管癌,其中行根治性手术16例,姑息性手术33例。结果:根治性手术切除率32.9%。手术切除者生存8～38个月,姑息手术者生存3～11个月。无手术死亡及严重并发症。结论:高位胆管癌的手术疗效与早期诊断及术式密切相关,改进手术技术,提高手术切除率,对改善疗效有重要意义。
Objective: To investigate the surgical method and its clinical significance of high cholangiocarcinoma. Methods: The clinical data of 49 patients with high cholangiocarcinoma were retrospectively analyzed. 49 cases of high cholangiocarcinoma, including radical surgery in 16 cases, palliative surgery in 33 cases. Results: The radical surgical resection rate was 32.9%. Surgery for 8 to 38 months survival, palliative surgery survival of 3 to 11 months. No operative deaths and serious complications. Conclusion: The surgical treatment of high cholangiocarcinoma is closely related to the early diagnosis and surgical procedure. It is important to improve the surgical technique and improve the surgical resection rate.