Shimada H, Izumi T, Note M, Seki H, Nakagawara G
First Department of Surgery, Fukui Medical School, Japan.
Hepatogastroenterology. 1993 Feb;40(1):61-4.
When hepatic resection for hilar chol-angiocarcinoma with impaired hepatic function is performed, minimal resection of the involved segment on the basis of the extent of cancer invasion must be selected so as to minimize the risk of postoperative hepatic failure. We describe our experience with anterior segmentectomy with caudate lobectomy for hilar cholangiocarcinoma in two patients with impaired hepatic function and poor general health. These procedures were curative resections histologically, and were not followed by severe postoperative complications. Anterior segmentectomy together with caudate lobectomy was considered appropriate treatment for hilar cholangiocarcinoma without infiltration of the posterior hepatic branch in patients with impaired hepatic function.
当对肝功能受损的肝门部胆管癌进行肝切除时，必须根据癌症侵犯范围选择对受累肝段进行最小限度切除，以将术后肝衰竭风险降至最低。我们描述了两例肝功能受损且全身状况较差的患者接受肝门部胆管癌前段切除联合尾状叶切除的经验。这些手术在组织学上属于根治性切除，术后未出现严重并发症。对于肝功能受损且肝后支未受侵犯的肝门部胆管癌患者，前段切除联合尾状叶切除被认为是合适的治疗方法。
