张宗明，邢海林，李 刚，刘 凯，朱建平，宿砚明，钟 华，郭金星
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肝门;胆管癌;根治性切除;姑息性切除;“架桥式”肝管空肠内引流,张宗明，邢海林，李刚，刘凯，朱建平，宿砚明，钟华，郭金星,张宗明，李刚，朱建平，宿砚明，钟华，郭金星，,邢海林，刘凯，,通讯作者：,电话
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张宗明，李刚，朱建平，宿砚明，钟华，郭金星，清华大学第一附属医院消化医学中心 北京市 100016
邢海林，刘凯，同济大学附属同济医院普外一科 上海市 200065
通讯作者：张宗明，100016，北京市朝阳区酒仙桥一街坊6号，清华大学第一附属医院消化医学中心.zhangzongming@mail.tsinghua.edu.cn
电话：010-64372362 传真：010-64361322
收稿日期：2005-08-26 接受日期：2005-09-05
Diagnosis and treatment for advanced hilar cholangiocarcinoma: an analysis of 15 cases
Zong-Ming Zhang, Hai-Lin Xing, Gang Li, Kai Liu, Jian-Ping Zhu, Yan-Ming Su, Hua Zhong, Jin-Xing Guo
Zong-Ming Zhang, Gang Li, Jian-Ping Zhu, Yan-Ming Su, Hua Zhong, Jin-Xing Guo, Digestive Medical Center, the First Affiliated Hospital of Tsinghua University, Beijing 100016, China
Hai-Lin Xing, Kai Liu, the First Department of General Surgery, Tongji Hospital, Tongji University, Shanghai 200065, China
Correspondence to: Zong-Ming Zhang, Digestive Medical Center, the First Affiliated Hospital of Tsinghua University, Beijing 100016, China. zhangzongming@mail.tsinghua.edu.cn
Received: 2005-08-26 Accepted: 2005-09-05
Abstract
AIM: To evaluate the efficacy of the surgical treatment for advanced hilar cholangiocarcinoma in order to enhance the resection rate and the curative effect.
METHODS: A retrospective analysis was performed on the data of 15 patients underwent surgical treatment for advanced hilar cholangiocarcinoma, including 7 mid-term cases (4 for Bismuth type IIIa, 3 for IIIb) and 8 late-term cases (Bismuth type IV).
RESULTS: Ten patients underwent successful resection, and 5 received non-surgical internal biliary stent drainage, of which 14 patients were followed-up (93.3%, 14/15), including all the 10 cases in the surgical resection group with the median survival time of 14.2 mo (16 d-32.3 mo). The median survival time for the patients received internal biliary stent drainage was 3.8 mo (1.3-7.2 mo), which was significantly different from that for the patients received surgical resection (t= 2 ......
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