论文部分内容阅读
目的 总结肝门部胆管癌扩大根治术中肝动脉重建的临床经验。方法 对 9例合并肝动脉侵犯肝门部胆管癌患者进行联合肝动脉重建肝门部胆管癌扩大根治术。结果 联合肝动脉重建肝门部胆管癌扩大根治术的患者术后 3 0d无并发症发生。 2例 2 3个月内复发死亡 ,7例术后恢复良好 ,重建肝动脉通畅。结论 联合肝动脉重建肝门部胆管癌扩大根治术可以达到肉眼根治的目的 ,不仅可以提高手术的切除率 ,而且可以减少术后并发症的产生。
Objective To summarize the clinical experience of hepatic artery reconstruction in the radical operation of hilar cholangiocarcinoma. Methods Nine cases of patients with hepatic arterial invasion of hilar cholangiocarcinoma were treated with hepatic arterial reconstruction of hilar cholangiocarcinoma. Results No complications occurred in patients who underwent combined hepatic arterial reconstruction of radical hilar cholangiocarcinoma on the 30th day after operation. Two patients died of recurrence within 23 months, and 7 patients recovered well after surgery, and the hepatic artery was reconstructed. Conclusions Combined hepatic artery reconstruction with radical radical resection of hilar cholangiocarcinoma can achieve the purpose of radical surgery. It can not only improve the resection rate of surgery, but also reduce the occurrence of postoperative complications.