Bodner E
Leber Magen Darm. 1978 Dec;8(6):370-4.
A report is given of 72 patients suffering from carcinoma of the extrahepatic biliary ducts. Carcinoma of the gallbladder usually grow fast invading the surrounding tissue. Thus cholecystectomy can be performed only as a pallouative procedure in most cases, and partial resection of the liver does not yield better results in general. Carcinoma of the ductus hepaticus usually grows slowly and metastases are formed lately in the course; thus patients usually die due to occlusion of the ducts and jaundice rather than due to the malignancy as such. In these cases good drainage of the bile is essential, in an early stage this can be achieved by placing a tube across the tumor, in later stages an intrahepatic cholangiojejunostomy is to be performed. The technique of this procedure and results obtained in 10 cases are reported.
报告了72例肝外胆管癌患者。胆囊癌通常生长迅速，侵犯周围组织。因此，在大多数情况下，胆囊切除术只能作为一种姑息性手术进行，一般来说，肝部分切除术也不会产生更好的效果。肝管癌通常生长缓慢，在病程中较晚形成转移；因此，患者通常死于胆管阻塞和黄疸，而不是死于癌症本身。在这些病例中，胆汁的良好引流至关重要，在早期可通过在肿瘤上放置一根管子来实现，在后期则需进行肝内胆管空肠吻合术。报告了该手术的技术及10例手术的结果。
