CAJ | 학술논문

目的总结肝胰十二指肠切除术(HPD)治疗肝门部胆管癌的经验.方法回顾性分析2000年6月至2008年1月11例HPD治疗肝门部胆管癌的临床资料.结果全组11例肝门部胆管癌按Bismush-corline分型,Ⅲ型8例,Ⅳ型3例.肝方叶切除+胰十二指肠切除术2例,肝尾叶切除+胰十二指肠切除术5例.右半肝+尾状叶+门静脉部分切除重建+胰十二指肠切除术1例,左半肝+胰十二指肠切除术3例,无死亡.胆漏3例,胰漏1例,肺部感染2例,肝功能衰竭1例,随访8例,最长者63个月.结论对肝门部胆管癌累及胰十二指肠区域者,HPD可提高其生存质量,是安全可行的.
목적 총결간이십이지장절제술(HPD)치료간문부담관암적경험.방법 회고성분석2000년6월지2008년1월11례HPD치료간문부담관암적림상자료.결과 전조11례간문부담관암안Bismush-corline분형,Ⅲ형8례,Ⅳ형3례.간방협절제+이십이지장절제술2례,간미협절제+이십이지장절제술5례.우반간+미상협+문정맥부분절제중건+이십이지장절제술1례,좌반간+이십이지장절제술3례,무사망.담루3례,이루1례,폐부감염2례,간공능쇠갈1례,수방8례,최장자63개월.결론 대간문부담관암루급이십이지장구역자,HPD가제고기생존질량,시안전가행적.
Objective To summarize the experience in performance of hepatopancreatoduodenostomy for hilar cholangiocarcinoma. Methods The clinical data of 11 cases of hilar cholangiocarcinoma receiving hepatopancreatoduodenostomy in our hospital from June 2000 to January 2008 were retrospectively analyzed. Results For Bismush-corlitte classification, 8 cases were grade Ⅲ the others Ⅳ.Quadrate lobectomy plus pancreaticoduodenectomy was performed in 2 patients, caudate lobectomy plus pancreaticoduodenostomy in 5, hepatectomy in right half plus caudate lobectomy, pancreaticoduodenostomy and PV lateral wall partial resection and reconstruction in 1, hepatectomy in left half and pancreaticoduodenostomy in 3. There were no death. Three patients had the complication of biliary fistula,1 pancreatic fistula, 2 pulmonary infection and 1 liver functional failure. The follow-up in 8 patients showed that the longest survival was 63 months. Conclusion HPD is safe and feasible for treatment of hilar cholangiocarcinoma invading the region of pancreaticoduodensum and it can promote the life quality of patients.