论文部分内容阅读
肝门部癌无论是原发于肝门或侵犯到该部位,手术切除率均很低,主要原因是肿瘤侵犯大血管,特别是门静脉受累。作者对肝门部癌侵犯门静脉患者采用肿物切除、右侧肝三叶切除及门静脉切除,从而提高了切除率。作者对68例胆管癌包括胆囊癌患者中的31例行切除手术,切除率为45.6%,其中8例行右侧肝三叶切除和门静脉汇合处切除术,包括肝内胆管癌3例,上段胆管癌2例、胆囊癌3例。术中证实肿瘤均广泛
In the case of hilar cancer, whether it is primary at the porta hepatis or invading this site, the rate of surgical resection is very low. The main reason is that the tumor invades the great vessels, especially the portal vein. The authors used tumor resection, right trilateral resection, and portal vein resection in patients with hilar portal cancer invading the portal vein, thereby increasing the resection rate. The author of the 68 patients with cholangiocarcinoma, including gallbladder cancer in 31 patients underwent resection surgery, the resection rate was 45.6%, including 8 cases of right hepatic trilobectomy and portal vein resection, including intrahepatic cholangiocarcinoma in 3 cases, the upper segment There were 2 cases of cholangiocarcinoma and 3 cases of gallbladder carcinoma. Intraoperative confirmation of extensive tumors