Shalimov S A, Rustamov I R, Zemskov V S, Diachuk I S, Sakun V M
Vopr Onkol. 1979;25(8):82-4.
The authors experience with 96 patients treated for cancer of the hepatic porta arising from the hepatic duct is discussed. The most resultant technics of investigation in this pathology are retrograde endoscopic cholangio-cholecystography (in 30 patients) and transjugular cholangiography (in 3 patients). Thirteen patients were radically operated upon, they were subjected to a circular resection of the common bile duct the site of hepatic ducts branching with subsequent hepaticojejunostomy. It is believed that a higher degree of resectability in tumors of this zone may be possible on account of perfection of early diagnosis and widening of an extent of surgery.
本文讨论了作者对96例肝门部胆管癌患者的治疗经验。针对这种病理情况，最常用的检查技术是逆行内镜胆管胆囊造影（30例患者）和经颈静脉胆管造影（3例患者）。13例患者接受了根治性手术，对肝管分支处的胆总管进行环形切除，随后行肝空肠吻合术。人们认为，由于早期诊断的完善和手术范围的扩大，该区域肿瘤的可切除性可能会更高。
