Launois B, Campion J P, Brissot P, Gosselin M
Ann Surg. 1979 Aug;190(2):151-7. doi: 10.1097/00000658-197908000-00005.
Tumor resection for treatment of carcinoma of the hepatic hilus was preferred over routine palliative decompression at the University Hospital Center, Rennes, France, in 1974. Since then, resection has been performed on 18 patients. In seven of these patients resection proved impractical because of the extension of a neoplasm into the portal vein or liver, therefore palliative decompression was performed. In 11 patients (61%) tumor resection, followed by reconstruction of the biliary tree, was performed successfully. All the resected tumors were adenocarcinomas of the proximal bile ducts. Four patients had simple hepatic duct resection. In two patients duct resection was associated with right lobectomy, in three patients with left lobectomy, in one patient with segmentectomy, and in one patient with excision of the right branch of the hepatic artery. There were two postoperative deaths. The mean survival time for the remaining nine patients is 521 days. Five patients were alive in August 1978, at intervals ranging from 175 to 1180 days after resection. These results contrast favorably with those obtained between 1968 and 1973, during which period nine patients had palliative decompression, with three postoperative deaths and a mean survival time of 164 days for the remaining six patients.
1974年，法国雷恩大学医院中心更倾向于采用肿瘤切除术治疗肝门癌，而非常规姑息性减压术。从那时起，已对18例患者进行了切除术。其中7例患者因肿瘤侵犯门静脉或肝脏而无法进行切除，因此进行了姑息性减压术。11例患者（61%）成功进行了肿瘤切除并重建了胆道树。所有切除的肿瘤均为近端胆管腺癌。4例患者进行了单纯肝管切除术。2例患者的胆管切除术联合右叶切除术，3例联合左叶切除术，1例联合节段切除术，1例联合肝动脉右支切除术。术后有2例死亡。其余9例患者的平均生存时间为521天。1978年8月，5例患者存活，术后间隔时间为175至1180天。这些结果与1968年至1973年期间的结果形成了有利对比，在此期间，9例患者接受了姑息性减压术，术后有3例死亡，其余6例患者的平均生存时间为164天。
