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肝门部恶性病变所致梗阻性黄疽息者预后不佳，多数病人在确诊后12个月内死亡，很少有超过5年的。引起恶性梗阻的肿瘤有：上段胆管癌、Klatskin病、原发和继发性肝脏肿瘤、胆囊癌、胃癌或胰腺癌转移病灶。治疗病变的共同点是缓解梗阻性黄疽。仅少数病例能手术切除。为缓解梗阻性黄疽常需作经皮穿刺或联合经皮穿刺与内窥镜进行引流。胆管内放内支撑管易堵塞并导致复发性黄疽和胆管炎。作者用肝Ⅲ段胆管空肠吻合术以探索治疗杆门部恶栓梗阻的方法。
The prognosis of obstructive jaundice due to hepatic portal malignancy is poor, with most patients dying within 12 months of diagnosis and rarely exceeding 5 years. Tumors causing malignant obstruction include: upper bile duct cancer, Klatskin disease, primary and secondary liver tumors, gallbladder cancer, gastric cancer, or pancreatic cancer metastasis. The common point in treating lesions is to relieve obstructive jaundice. Only a few cases can be surgically removed. In order to relieve obstructive jaundice, percutaneous puncture or combined percutaneous puncture and endoscopic drainage are often required. Placement of internal support tubes in the bile duct tends to block and lead to recurrent jaundice and cholangitis. The authors used a hepatic segment III bile duct jejunostomy to explore the treatment of parapharyngeal obstruction at the portal sac.