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目的 BismuthⅣ型肝门部胆管癌一直被归类为不能手术切除的疾病。本研究目的总结BismuthⅣ型肝门部胆管癌行手术治疗的经验。方法回顾性分析2006年至2015年期间BismuthⅣ型肝门部胆管癌患者的临床资料,分析手术治疗的效果和影响生存的因素。结果 332例Ⅳ型肝门部胆管癌患者中,216例(65.1%)行手术切除,其中左三叶切除术112例,左半肝切除术43例,右三叶切除术41例,右半
Purpose Bismuth type IV hilar cholangiocarcinomas have long been classified as unresectable diseases. The purpose of this study was to summarize the experience of surgical treatment of Bismuth type IV hilar cholangiocarcinoma. Methods The clinical data of patients with Bismuth type Ⅳ hilar cholangiocarcinoma from 2006 to 2015 were retrospectively analyzed. The effects of surgical treatment and the factors affecting survival were analyzed. Results Of the 332 patients with type IV hilar cholangiocarcinoma, 216 (65.1%) were undergone surgical resection, including 112 cases of left-sided resection, 43 cases of left-handed hepatectomy, 41 cases of right-sided resection and the right half