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肝门部胆管癌的治疗一直是肝胆外科治疗的难题,尚未获得满意的解决。疗效不佳的主要原因是术后短期复发再梗阻,合并肝内胆管感染而死亡。作者利用硅塑导管行经肝-肿瘤肝胆管内外引流术治疗肝门部胆管癌,预防肿瘤切除术后复发,获得了较满意的疗效。典型病例最长生存52个月而无黄疸复发。文中较详细地介绍了该方法的技术要点,术后管理及对该方法的评价。作者认为该方法值得尝试和推广。
The treatment of hilar cholangiocarcinoma has been a difficult problem in the treatment of hepatobiliary surgery and has not been satisfactorily resolved. The main cause of poor efficacy is short-term recurrence and re-obstruction after surgery, and death due to intrahepatic bile duct infection. The authors used silicon-based plastic catheters for the treatment of hilar cholangiocarcinoma by external and internal drainage of hepatic-tumor hepatobiliary ducts to prevent recurrence after tumor resection and achieved satisfactory results. Typical cases survived for a maximum of 52 months without recurrence of jaundice. This article describes in detail the technical points of the method, postoperative management and evaluation of the method. The author thinks this method is worth trying and promoting.