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目的 探讨伴胆管癌栓的原发性肝癌(HCC)外科治疗方式的选择。 方法 回顾性分析1994～2001年15例HCC伴胆管癌栓的外科治疗情况。 结果 肝癌切除加胆管癌栓清除术7例,肝癌切除加肝外胆管切除术4例,单纯胆总管切开取栓术3例,背驮式肝移植1例。术后1年生存率为73.3％,3年生存率为40％,其中有2例生存已超过5年。 结论 原发性肝癌伴胆管癌栓行外科治疗是一种积极有效的治疗方法。复发后的再次手术可取得较好疗效。肝移植作为一种崭新的手术方式值得探讨。
Objective To investigate the surgical treatment options for primary hepatocellular carcinoma (HCC) with cholangiocarcinoma suppository. Methods The clinical data of 15 cases of HCC with cholangiocarcinoma suppository were retrospectively analyzed from 1994 to 2001. Results Hepatic cancer resection plus cholangiocarcinoma thrombectomy in 7 cases, liver resection plus extrahepatic bile duct resection in 4 cases, simple choledocholithotomy in 3 cases, piggyback liver transplantation in 1 case. The 1-year survival rate was 73.3% and the 3-year survival rate was 40%. Two of them survived more than 5 years. Conclusion Surgical treatment of primary hepatocellular carcinoma with cholangiocarcinoma suppository is a positive and effective treatment. Reoperation after surgery can achieve better efficacy. Liver transplantation as a new surgical approach is worth exploring.