Iwasaki Y, Ohto M, Todoroki T, Okamura T, Nishimura A
Surg Gynecol Obstet. 1977 Feb;144(2):219-24.
A series of 23 patients with carcinoma at the hilus of the bile duct were studied. Fourteen of the 23 patients underwent surgical resection. Nine of the 14 patients had a curative resection. Six patients are alive after a follow-up period of five to 25 months. The remaining five patients had noncurative resection, and four of them died from metastatic carcinomas during the next 14 months. One patient who had a left hepatic lobectomy is still alive eight months after operation. The other three patients with advanced carcinoma at the hilus of the bile duct were treated by intraoperative radiotherapy. A single dose of 3,000 rads was emitted directly to the tumors. The remaining six patients were treated by drainage procedures only. Four patients with advanced carcinoma of the gallbladder had received radiotherapy. Six of the eight patients who were treated by radiotherapy are alive, although the follow-up period extends to 11 months only.
对23例肝门部胆管癌患者进行了研究。23例患者中有14例接受了手术切除。14例患者中有9例进行了根治性切除。6例患者在随访5至25个月后仍存活。其余5例患者进行了非根治性切除，其中4例在接下来的14个月内因转移性癌死亡。1例接受左肝叶切除术的患者术后8个月仍存活。另外3例肝门部胆管癌晚期患者接受了术中放疗。直接对肿瘤发射单次剂量3000拉德。其余6例患者仅接受了引流手术。4例胆囊癌晚期患者接受了放疗。接受放疗的8例患者中有6例存活，尽管随访期仅延长至11个月。
