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背景HCC合并胆管癌栓临床中较少见,发生率为1.2%~9%,针对这种情况的外科处理文献报道的更少。外科处理面临的两个难题为:是否保留有癌栓的胆管;术后复发如何处理。为解决这些难点,笔者中心采取保留肝外胆管的肝切除治疗HCC合并胆管癌栓,取得较好的临床效果。方法 1994年10月至2011年7月间东京大学医附属医院行肝切除的1473例HCC中,19例(1.3%)患者合并肉眼胆
Background HCC with cholangiocarcinoma is rare in clinical practice, with a incidence rate of 1.2% ~ 9%. There are fewer reports of surgical treatment in this condition. Surgical treatment is facing two problems: whether to retain the tumor thrombus in the bile duct; how to deal with recurrence. To solve these difficulties, the author center to retain the extrahepatic bile duct resection of hepatocellular carcinoma treated with HCC complicated with cholangiocarcinoma, and achieved better clinical results. Methods Among 1473 HCC cases undergoing liver resection from October 1994 to July 2011 at the Affiliated Hospital of The University of Tokyo, 19 (1.3%) patients were divided into two groups