Rangel M, Pereira-Lima L, Waechter F L
Service de Chirurgie Générale, Hôpital Napoleão Laureano, João Pessoa, Paraíba, Porto Alegre, Rio Grande do Sul, Brésil.
J Chir (Paris). 1997;134(9-10):401-5.
The aim of this study is to analyse the results of the intrahepatic cholangiojejunostomy in the duct of segment III for malignant hilar obstruction performed in a group of 17 consecutive patients. An index for life quality, named comfort index, allowing the numeric comparison of the results was evaluated. An important reduction of the jaundice in 100% of the cases that were discharged from the hospital was observed. The hospital mortality was 11.8% with a comfort index of 81.9%. These results allow the following conclusions: 1) the employed technique represent an effective method for the solution of the cholestasis caused by unresectable tumors of the hepatic hilus; 2) the comfort index of 81.9% showed that the method is suitable as a palliative treatment of malignant hilar biliary obstruction.
本研究旨在分析一组连续17例患者因肝门部恶性梗阻行Ⅲ段肝内胆管空肠吻合术的结果。评估了一个名为舒适度指数的生活质量指标，用于对结果进行数值比较。观察到100%出院患者的黄疸明显减轻。医院死亡率为11.8%，舒适度指数为81.9%。这些结果得出以下结论：1）所采用的技术是解决肝门部不可切除肿瘤所致胆汁淤积的有效方法；2）81.9%的舒适度指数表明该方法适合作为肝门部恶性胆管梗阻的姑息治疗方法。
