Gouma D J, Wesdorp R I, Soeters P B, Greep J M
Neth J Surg. 1984 Apr;36(2):48-53.
Proximal bile duct carcinoma is surgically irresectable in most patients and some form of palliative drainage is necessary. Percutaneous transhepatic drainage for this condition has been performed in eight patients through internal and external drainage. Five patients had an adequate drainage with a mean palliative drainage period of 11 months, the longest period being 21 months. The other three patients, with a mean age of 88 years, died within four weeks due to terminal disease. The direct transhepatic approach seems an attractive alternative to surgical bypass procedures as a palliative treatment. In particular, if the tumor involves both hepatic ducts, combined left and right hepatic duct drainage offers a new possibility in palliative treatment.
大多数近端胆管癌患者无法通过手术切除，因此需要某种形式的姑息性引流。已有8例患者针对此种情况进行了经皮经肝胆道引流，包括内引流和外引流。5例患者引流充分，平均姑息性引流期为11个月，最长为21个月。另外3例患者平均年龄为88岁，因晚期疾病在四周内死亡。作为一种姑息性治疗方法，直接经肝入路似乎是手术旁路手术的一种有吸引力的替代方案。特别是当肿瘤累及双侧肝管时，联合左右肝管引流为姑息性治疗提供了新的可能性。
