Hart M J, White T T
Ann Surg. 1980 Sep;192(3):299-305. doi: 10.1097/00000658-198009000-00004.
Ten cases of central hepatic resection for benign and malignant strictures are reported. Reconstruction was by hepaticojejunostomy with placement of a transhepatic silastic stent across the anastomosis. Four patients had carcinomas at the hepatic bifurcation. Four had high biliary stricture and two had intrahepatic stones and strictures. Follow-up ranged from six to 30 months. Two patients died in the postoperative period at two months and 18 months, both with widely patent hepaticojejunostomies. Satisfactory results have been obtained in seven of the eight remaining patients. These seven are symptom-free and without jaundice.
报告了10例因良性和恶性狭窄而行肝中央切除术的病例。重建方式为肝空肠吻合术，并在吻合口处放置经肝硅橡胶支架。4例患者肝门部有癌肿。4例有高位胆管狭窄，2例有肝内结石和狭窄。随访时间为6至30个月。2例患者分别在术后2个月和18个月死亡，二者肝空肠吻合口均通畅。其余8例患者中有7例取得了满意的结果。这7例患者无症状且无黄疸。
