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胆管和胰腺癌侵犯门静脉时能否争取手术切除,作者为此总结27例的治疗经验,其中肝胆管癌1例、近端。胆管癌5例、胆囊癌2例、中段胆管癌2例和胰腺癌17例。入院时20例已有黄疸,作径皮肝穿刺插管或ERCP插管引流,待总胆红素值降至5 mg/dl以下时进行手术。手术内容有门静脉段切除及肝切除7例,其中切除肝门区门静脉2.4 cm(1～4cm)5例,门静脉楔形切除2例,均未用人造血管,静脉切端直接吻合。
When the bile duct and pancreatic cancer invade the portal vein can fight for surgical resection, the authors summarized the treatment experience of 27 cases, including 1 case of hepatobiliary cancer, proximal. There were 5 cases of cholangiocarcinoma, 2 cases of gallbladder carcinoma, 2 cases of middle bile duct carcinoma and 17 cases of pancreatic carcinoma. At the time of admission, there were 20 cases of jaundice who underwent drainage through the puncture cannula or ERCP catheter. The operation was performed when the total bilirubin value fell below 5 mg/dl. The surgical contents included portal vein resection and hepatectomy in 7 cases, including resection of the portal vein 2.4 cm (1 to 4 cm) in 5 cases and portal vein wedge resection in 2 cases. No artificial blood vessels were used, and the venous incision ends were directly anastomosed.