Clinical and Surgical Sciences (Surgery), University of Edinburgh, Royal Infirmary, Edinburgh EH 16 4SA, UK.
HPB (Oxford). 2005;7(4):273-7. doi: 10.1080/13651820500372442.
The majority of patients who present with hilar cholangiocarcinoma will have incurable disease and require only palliation. Efficient relief of disabling symptoms is required with minimal morbidity and mortality and can be achieved by either surgical or non-operative options. A review of the indications, anatomical considerations and surgical techniques is presented. Segment III cholangio-jejunostomy is the most frequently used surgical bypass procedure and in those patients with an expected survival of more than 6 months, surgical palliation offers good quality and long-lasting palliation. There is a need for randomized controlled data to define the optimal role of surgical palliation in this difficult disease.
大多数出现肝门部胆管癌的患者将患有无法治愈的疾病，只需姑息治疗。需要通过手术或非手术选择以最小的发病率和死亡率来有效地缓解致残症状。本文回顾了适应证、解剖学考虑因素和手术技术。III 段胆管空肠吻合术是最常用的手术旁路手术，对于预计生存时间超过 6 个月的患者，手术姑息治疗可提供良好的质量和持久的姑息治疗效果。需要随机对照数据来确定手术姑息治疗在这种困难疾病中的最佳作用。
