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[胆囊癌合并肝门部肝外胆管整块右半肝切除术:临床病例]

[Right hepatectomy in block with hiliar extra hepatic bile duct for gallbladder cancer: clinical case].

作者信息

Mengoa Quintanilla Claudio, De la Cruz Robles Giovanni, Puma Condori Sergio, Durand Mendoza Carol

机构信息

Servicio de Cirugía Oncológica de Abdomen, Instituto Regional de Enfermedades Neoplásicas del Sur.Arequipa, Perú.

出版信息

Rev Gastroenterol Peru. 2016 Oct-Dec;36(4):369-372.

Abstract

Gallbladder cancer is the most common malignancy of the biliary tract. Usually seen in advanced stages. There are still many controversies about the type of curative surgical treatment for each stage of the disease. The only chance of long term survival for patients with advanced tumors is aggressive, large surgeries that implies multiorgan resection.We report the case of a patient with gallbladder cancer with jaundice at diagnosis, who underwent extended hepatectomy (segment IV B, segment I and extra hepatic hilar bile duct included).

摘要

胆囊癌是胆道最常见的恶性肿瘤。通常在晚期才被发现。对于该疾病各阶段的根治性手术治疗方式仍存在诸多争议。晚期肿瘤患者长期生存的唯一机会是进行积极的、涉及多器官切除的大型手术。我们报告一例诊断时伴有黄疸的胆囊癌患者的病例,该患者接受了扩大肝切除术(包括IV B段、I段及肝外肝门胆管)。

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