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目的分析原发性肝癌并胆管癌栓的手术原则方式。方法本组共12例,在切除原发灶基础上,根据癌灶的部位及周围浸润情况,采用不同的手术方法。结果手术能改善患者的临床症状,提高生活质量。结论切除原发灶、清除癌灶、疏通胆道为原发性肝癌并胆管癌栓的手术原则,肝癌切除加胆管癌栓清除,癌栓胆管切除及胆管空肠吻合或胆总管切开取栓为其有效的手术方式。
Objective To analyze the surgical principle of primary hepatocellular carcinoma and cholangiocarcinoma. Methods A total of 12 cases in this group, based on the excision of the primary tumor, according to the location of the lesion and surrounding infiltration, using different surgical methods. Results Surgery can improve the patient’s clinical symptoms and improve quality of life. Conclusions The surgical principle of excision of primary tumor, removal of foci, dredging of biliary tract for primary hepatocellular carcinoma and cholangiocarcinoma, removal of hepatocellular carcinoma plus cholangiocarcinoma, thrombectomy of thrombus and cholangiojejunostomy or choledocholithotomy Effective surgical methods.