Strunk E, Clemens M, Langhans P
Leber Magen Darm. 1979 Aug;9(4):192-9.
Malignant disease obstructing the bile ducts is diagnosed in most cases at a time, when radical surgery is not possibly any more. Diagnostic procedures applied up to now are not suited for early diagnosis. 5 years survival rates of patients with carcinoma of the bile ducts are maximally 6%, in patients with carcinoma of the papilla 36%. In the Department of Surgery of the Münster University, 126 such patients have been treated in the recent time; in 104 cases jaundice was apparent clinically. Radical pancreatoduodenectomy could be done only in 24 patients.
大多数情况下，恶性疾病阻塞胆管在无法再进行根治性手术时才被诊断出来。到目前为止所应用的诊断方法并不适用于早期诊断。胆管癌患者的5年生存率最高为6%，乳头癌患者为36%。在明斯特大学外科，最近已治疗了126例此类患者；其中104例临床上有明显黄疸。仅24例患者可行根治性胰十二指肠切除术。
