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目的 探讨肝内胆管细胞癌的生物学特征及手术方式等因素对手术切除效果的影响。方法 总结 1987年至 1997年收治手术切除 17例肝内胆管癌的临床资料和经验。结果 左半肝切除 6例 ,左半肝扩大切除 3例 ,右半肝切除 3例 ,右半肝扩大切除 1例 ,肝Ⅳb、Ⅴ、Ⅵ段横行切除 2例。术后 1年、3年、5年生存率为 6 4 7%、35 3 %、11 8%。结论 肝内胆管癌的浸润、转移方式及与之相适应的手术方式是影响手术效果的重要因素
Objective To investigate the biological characteristics of intrahepatic cholangiocarcinoma (HCC) and the influence of operative methods on the surgical resection. Methods The clinical data and experience of 17 cases of intrahepatic cholangiocarcinoma resected from 1987 to 1997 were summarized. Results Six cases of left hepatectomy, three cases of left hepatic enlargement and resection, three cases of right partial hepatectomy, one case of right hepatic enlargement and resection, and two cases of transverse transection of stage Ⅳb, Ⅴ and Ⅵ of the liver. The 1-year, 3-year and 5-year survival rates were 66.7%, 35.3% and 118% respectively. Conclusion The infiltration and metastasis of intrahepatic cholangiocarcinoma and the corresponding surgical methods are the important factors affecting the surgical effect