原发性肝癌伴胆管癌栓9例外科治疗分析

Realization of diagnosis and treatment of primary liver cancer with cancer thrombus of the bile duct

摘要: 目的: 观察胆管癌栓清除术或加肝癌切除术治疗原发性肝癌伴胆管癌栓的疗效。方法: 回顾性分析原发性肝癌伴胆管癌栓9例的外科治疗情况。结果: 全组无手术死亡,随访3~15个月,肝癌复发2例,存活7例。结论: 原发性肝癌伴胆管癌栓行外科治疗是一种积极有效的治疗方法。

Abstract: Objective: To evaluate surgical therapy and the effect of hepatectomy plus the clearance of tumor thrombi from bile in the bile duct for primary hepatocellular carcinoma(PLC) with tumorbi in the bile duct.Methods: Nine Patients with PLC and bile duct thrombi(BDT) who underwent surgical intervention were retrospectively analyzed.Results: There was no operative mortality and all patients were followed up for 3-15 months.Two patients were died for a relapse of hepatoma,and seven still alive.Conclusions: Hepatectomy plus the clearance of tumor thrombi from bile duct was effective for treatment of patients with PLC and BDT.