摘要
目的 多数外科医生对中晚期胆囊癌的外科治疗持消极悲观态度，作者探讨积极采取外科治疗的价值。方法 对３２ 例中晚期胆囊癌患者进行积极的外科治疗，除胆囊切除外，另行肝段切除术７ 例、半肝切除１ 例、肝门部胆管切除高位胆肠吻合４ 例、肝段切除并肝门部胆管切除高位胆肠吻合６例、肝部分及胰头十二指肠切除１４ 例。其中２６ 例行肝十二指肠韧带骨骼化清扫。结果 手术均顺利完成，１７ 例１２ 个月前手术者，１０ 例仍存活，其中２ 例已超过３０ 个月，最长达４０ 个月；１５ 例１２ 个月内手术者１４ 例存活。结论 对中晚期胆囊癌积极进行根治性手术，能改善其生活质量，延长生存期。
Objective Most surgeons hold a pessimistic view at radical surgery for patients with advanced gallbladder carcinoma. The objective of this paper was to determine whether radical surgery is helpful for patients with advanced gallbadder carcinoma. Method Radical surgery for 32 patients with advanced gallbladder carcinoma was performed. These patients include 7 cases subjected to liver segmentectomy, one case to hemiheptectomy, and 4 cases to resetion of hilar bile duct, 6 cases to combined resection of hepatic segments with hilar bile duct, and 14 cases to hepaticopancreatoduodenectomy (HPD). Skeletonization of hepatoduodenum ligament was performed in 26 cases. Results All the operations were carried out successfully. Of the 17 cases who received the operations 12 months ago, 10 are still alive and 2 have lived more than 30 months. The longest survival time is 40 months. Of the 15 cases operated in last 12 months, 14 cases are still alive. Conclusion It is possible to prolong the life or improve the life quality of patients with advanced gallbladder carcinoma by doing radical surgery more actively.
出处
《中华肝胆外科杂志》
CAS
CSCD
1999年第5期291-292,共2页
Chinese Journal of Hepatobiliary Surgery
关键词
胆囊肿瘤
外科手术
骨骼化
生活质量
生存期
Gallbladder carcinoma Surgical treatment Skeletonization Hepatoduodenectomy(HPD)
