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目的:探讨肝内胆管黏液腺癌的诊治方法。方法:回顾分析我院5例肝内胆管黏液腺癌的临床表现、手术方法和预后。结果:5例中,2例行左肝切除合并邻近胃、脾切除,1例行U管外引流,1例行T管外引流,1例行肿瘤活检。存活最长的2年,最短者8个月。结论:肝内胆管黏液腺癌术前诊断困难。明确肿瘤部位,进行肝叶或肝段切除是主要的根治方法,U管外引流可适当延长病人的生存时间。
Objective: To investigate the diagnosis and treatment of intrahepatic bile duct mucinous adenocarcinoma. Methods: The clinical manifestations, surgical methods and prognosis of 5 cases of intrahepatic bile duct mucinous adenocarcinoma in our hospital were analyzed retrospectively. RESULTS: Of the 5 cases, 2 cases underwent left hepatectomy with adjacent gastric and splenectomy, 1 patient underwent U-tube drainage, 1 patient underwent T-tube drainage, and 1 patient underwent tumor biopsy. The longest survived 2 years, the shortest 8 months. Conclusion: Preoperative diagnosis of intrahepatic bile duct mucinous adenocarcinoma is difficult. To clarify the location of the tumor and to perform resection of the lobe or liver is the main method of cure. U-tube drainage can prolong the patient’s survival time.