【摘要】 目的:总结肝门胆管癌手术处理的临床经验与体会。方法:采用肝门上入路法切除BismuthⅢ～Ⅳ型肝门胆管癌。结果:在23例肝门胆管癌中:属Ⅰ型者1例,Ⅱ型6例,Ⅲ型11例,Ⅳ型5例。行根治性切除者18例(78.26%)。结论:肝门上入路是肝门被肿瘤禁锢时的唯一入肝路径,肝正中裂路径由于没有主要的胆管或动脉通过,出血少,暴露清楚。方叶切除可帮助完成肝门部胆管癌(距肿瘤边缘1.0cm)的切除。更多还原

【Abstract】 Objective:To sum up the experience gained in carrying out resections for hilar cholangiocarcinoma.Methods:To improve the results of surgical treatment for hilar cholangiocarcinoma of Bismuth typeⅢ-Ⅳusing the upper hilar approach.Results:Of the23patients,tumor classification,there were1case belonging to type I(Bismuth and Corlette classification),6cases to typeⅡ,Ⅱcases to typeⅢ,and5cases to typeⅣ.Of these,18patients(78.26%)underwent curative resections.Conclusions:Upper hilar approach is the unique access to resection of hilar cholangiocarcinoma of the Bismuth typeⅢ-Ⅳ.There are no important vessels or billiary ducts in the central fissura of the liver.During the operation via this approach,bleeding was fewer and exposure better.Quadrate lobe resection could help in carrying out the operation.更多还原