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虽然肝门部胆管癌的可切率不断增加,但对本病的最佳洽疗方案仍有争议.本文旨在对肝门部胆管癌胆道引流后的扩大的肝右叶切除术(ERH)进行评价.讨论与围术期有关的实验室资料、肝内未予引流的胆道树的分布和范围、肝段的量以及无病生存期.方法与结果 作者对25例患肝门部或弥散性胆管癌病人施行肝外胆管切除术和区域淋巴结清扫(EBDR)并扩大的肝右叶切除.在行ERH病人中6例病人加作胰十二指肠切除术(PD),未加作19例.扩大的肝右叶切除术包括切除肝右叶并左内叶下段,加作或不加作左尾叶切除.其余12例行下列手术:EBDR1例,EBDR加左内叶下部和尾叶切除2例,EBDR并右前叶切除和PD1例,EBDR并左肝
Although the excision rate of hilar cholangiocarcinoma continues to increase, the best treatment protocol for this disease remains controversial. This article aims to expand the right hepatectomy (ERH) after biliary drainage of hilar cholangiocarcinoma. To conduct an evaluation. Discuss the laboratory data related to perioperative period, the distribution and extent of non-draining biliary tree in the liver, the amount of liver segments, and disease-free survival. Methods and results Authors of 25 patients with hilar or diffuse Excision of extrahepatic cholangiocarcinoma, regional lymph node dissection (EBDR), and enlarged right lobar resection in patients with cholangiocarcinoma. Six patients in the line of EHR were treated with pancreaticoduodenectomy (PD). Example: Expanded right hepatectomy includes removal of the right lobe of the liver and the lower left lobe, with or without left lobe resection. The remaining 12 patients underwent the following operations: 1 EBDR, EBDR plus the left lower lobe and the tail 2 cases were resected, EBDR and right anterior lobectomy and PD 1 case, EBDR and left liver