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[肝门部胆管癌的手术假体:适应症与结果]

[Surgical prosthesis in Klatskin's tumor: the indications and results].

作者信息

Ticmeanu F

机构信息

Clinica de Chirurgie, Spitalul Interdepartamental Bucureşti

出版信息

Chirurgia (Bucur). 1996 May-Jun;45(3):119-24.

PMID:9019264
Abstract

The unresectable Klatskin tumors can benefit from surgical polliction through intrahepatic biliodigestive anastomosis or surgical stenting (lost tube, "U" tube-Terblanche or "T" tube). 85 Klatskin tumors were operated in 20 years in the Surgery Clinic "Colentina" and in the Surgery Clinic "Interdepartamental". Surgical stenting was performed in 13 cases. The operation is very easy, from the technical point of view++, and the results are better composed to retrograde endoscopical prosthesis and transparietohepatic prosthesis. Stenting has a much lower morbidity and mortality than the intrahepatic biliodigestive derivations. If offers an acceptable life comfort for the surviving period.

摘要

无法切除的肝门部胆管癌可通过肝内胆肠吻合术或手术支架置入(引流管、“U”形管 - 特布兰奇管或“T”形管)手术引流而获益。在“科伦蒂纳”外科诊所和“跨部门”外科诊所的20年里,共对85例肝门部胆管癌患者进行了手术。其中13例行手术支架置入。从技术角度来看,该手术非常简单,与逆行内镜支架置入术和经皮肝穿刺胆管引流术相比,效果更佳。支架置入术的发病率和死亡率远低于肝内胆肠转流术。在生存期内,它能提供可接受的生活舒适度。

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