Kracht M
Rev Prat. 1989 Oct 1;39(22):1951-4.
Palliative surgery is still a major form of treatment in malignant biliary obstruction. Its results, however, have to be compared with those of non-surgical methods. The quality of life is often excellent after palliation, even when the slightly higher mortality and morbidity rates are taken into account. Furthermore, the case of curative resection is often decided peroperatively, and this chance should be given to every patient for whom there is no definite contraindication to resection during the preoperative assessment.
姑息性手术仍然是恶性胆道梗阻的主要治疗方式。然而,其结果必须与非手术方法的结果相比较。即使考虑到略高的死亡率和发病率,姑息治疗后的生活质量通常也很好。此外,根治性切除的情况往往在手术中决定,对于术前评估无明确切除禁忌的每位患者都应给予这种机会。