论文部分内容阅读
目的 总结原发性肝癌并胆管癌栓的手术原则及手术方式。方法 本组10例,在切除原发灶基础上,根据癌灶的部位及浸润情况,采用不同的手术方法。结果 通过手术改善了患者的临床症状、延长生存期,提高了生活质量。结论 切除原发灶、消除癌栓、疏通胆道及解除梗阻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术为其有效的手术方式。
Objective To summarize the surgical principles and surgical methods of primary liver cancer and bile duct tumor thrombus. Methods 10 cases of this group, based on the removal of primary lesions, according to the location of the lesions and infiltration, using different surgical methods. RESULTS: Surgery improved the patient’s clinical symptoms, prolonged survival, and improved quality of life. Conclusions The principle of surgical resection of primary tumors, elimination of tumor thrombi, obstruction of biliary tract, and relief of obstruction for primary hepatocellular carcinoma and bile duct tumor thrombosis. Liver cancer resection plus removal of bile duct tumor thrombus, tumor thrombectomy and bile duct jejunostomy or common bile duct incision and thrombectomy is an effective surgical method.