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肝门部胆管癌手术切除是胆道外科颇具挑战性的问题,由于其特殊的解剖部位、复杂的毗邻关系和独特的生物学特性,曾一度被视为无法切除的肿瘤,以往切除率仅为10％左右。近年来,外科治疗已取得长足的进步,根治性切除明显提高了疗效。我们自1996年以来手术治疗10例该病患者,现报告如下。 1 临床资料 1.1 一般资料 10例患者,男性6例,女性4例,年龄40～72岁,病程0.5～2.5月,平均1.2个月。临床表现;黄疸呈进行性加深者9例,伴右上腹不适或疼痛者8例,伴消瘦、乏力和浓茶样尿者8例,伴陶土样便者4例,伴发热者2例,肝脏肿大者4例,有腹水者3例。
Surgical removal of hilar cholangiocarcinoma is a challenging problem in biliary surgery. Because of its special anatomical features, complex adjacent relationships and unique biological characteristics, it was once considered an unresectable tumor. In the past, the resection rate was only 10%. %about. In recent years, considerable progress has been made in surgical treatment, and radical resection has significantly improved the curative effect. We have treated 10 patients with this disease since 1996. The report is as follows. 1 Clinical data 1.1 General information 10 patients, 6 males and 4 females, aged 40 to 72 years, duration of 0.5 to 2.5 months, an average of 1.2 months. Clinical manifestations; jaundice showed progressive deepening in 9 cases, with right upper quadrant discomfort or pain in 8 cases, accompanied by weight loss, fatigue, and strong tea-like urine in 8 cases, accompanied by clay soil sample in 4 cases, and fever in 2 cases, liver There were 4 swollen patients and 3 ascites.