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目的 :总结肝门部胆管癌的诊断及手术治疗经验。方法 :回顾性分析近 9a手术治疗的肝门部胆管癌 4 2例的临床资料及随访结果。结果 :本组 4 2例手术切除 2 6例 ,切除率 6 1.9% ,其中根治性切除率为 5 7.7%。根治性切除患者平均生存期为 2 7个月 ,5a生存率 2 0 % ,姑息性切除患者平均生存期 13个月 ,前者明显优于后者。结论 :提高早期诊断率、改善患者术前状况并提高手术者的操作技巧 ,可提高根治性手术切除率 ,减少术后并发症及围手术期病死率 ,改善预后。
Objective: To summarize the diagnosis and surgical treatment experience of hilar cholangiocarcinoma. Methods : Retrospective analysis of clinical data and follow-up results of 42 cases of hilar cholangiocarcinoma treated in the recent 9 years. Results: In this group of 42 patients undergoing surgery, 26 cases had a resection rate of 6.9%, of which the radical resection rate was 5 7.7%. The average survival time of patients with radical resection was 27 months, and the 5-year survival rate was 20%. The average survival time of patients undergoing palliative resection was 13 months. The former was significantly better than the latter. Conclusions: Improving the rate of early diagnosis, improving preoperative conditions, and improving the operating skills of the surgeons can increase radical surgical resection rates, reduce postoperative complications and perioperative mortality, and improve prognosis.