【作者】 崔宏； 高琴琴； 黄长山； 张素萍； 韩风； 张玲； 陈伟瑜；

【Author】 Cui Hong Gao Qin-Qin Huang Chang-San et al Department of Hepatobiliary Pancreas Surgery, Tumor Hospital, HeNan province, ZhengZhou, 450052, China

【机构】 河南省肿瘤医院外科-肝胆胰病区； 河南省人民医院；

【摘要】 目的:探讨肝癌伴胆道癌栓的外科治疗方式的选择。方法:对1990年5月至2006年5月我院收治的148例肝癌伴胆道癌栓病人的治疗情况进行回顾性分析和总结。结果:肝癌切除+胆道癌栓清除+胆道引流术80例,肝癌切除+肝外胆道切除+胆肠内引流术25例,单纯癌栓清除+胆道引流术 16例,其余方式27例。术后1年生存率78．5％,3年生存率 46．5％,其中40例病人生存已超过8年。结论:肝癌伴胆道癌栓行外科治疗是一种积极有效的方法,是改善病人预后的关键。而肝脏移植作为一种崭新的方式值得探讨。更多还原

【Abstract】 Objective: To summarize the manner of surgical therapy for liver cancinoma with cancer thrombi in the bile duct(BDT). Methods: Restrospective analysis and study were performed on the treatment of 148 cases patients of liver cancinoma with cancer thrombi in the bile duct from May in 1990 to 2006 admitted to our hospital. Results: The operative procedure included hepatectomy with removed of BDT and exploration of the extra-hepatic bile duct(n=80),hepatectomy combined with extra-hepatic bile duct resection and R- Y choledochojejunostomy (n=25),throm-bectomy through exploration of the extra-hepatic bile duct(n=16).The 1- and 3-year survival rates were 78.5% and 46.8%,respectively.40 patients survival time over 8 years.Conclusion: Surgical treatment is effective and the key points to prolong the survival time for patients with liver cancinoma and BDT.Liver transplantation is a new operation procedure worthy of study.更多还原