Resection for hilar cholangiocarcinoma and hepatic portal - jejunostomy.docVIP

 PAGE \* MERGEFORMAT 13 Resection for hilar cholangiocarcinoma and hepatic portal - jejunostomy [Keywords:] hilar bile duct cancer - jejunostomy Surgical resection of hilar cholangiocarcinoma is low [1-6], to expand the scope of surgical resection is to improve the resection rate, reduce or delay the recurrence of major initiatives. Half liver resection trauma, some patients difficult to tolerate. Local extended resection of liver cross-section shape and the bile duct is difficult - jejunostomy, hilar recurrence rate, local recurrence of tumor compression, obstruction of bile duct jejunum anastomosis, patients may relapse of obstructive jaundice. portal - so the liver jejunostomy local extended resection of hilar cholangiocarcinoma, bile adequate drainage is possible and may delay the recurrence of jaundice after tumor recurrence time. The surgical method of high precision, high risk. In this study, based on a certain number of patients, trying to hilar cholangiocarcinoma resection, portal - jejunostomy, reported as follows. 1 Materials and Methods 1.1 General information collected in our department in May 2006 -2008 in January in patients with hilar cholangiocarcinoma in 11 patients, 7 males and 4 females, aged 40 to 78 years. Bismuth type: 6 cases, a type 2 cases, b, 3 cases of patients with type 1 case 4 months ago laparotomy, cholecystectomy, postoperative biliary fistula. preoperative bilirubin 268 ~ 568.4 mol / L. All patients had preoperative B-, CT and (or MRI examination. 1.2 bilirubin level before surgery treatment than 400 mol / L or patients with poor general percutaneous transhepatic biliary drainage (percutaneous transhepatic cholangio drainage, PTCD and home nasal enteral nutrition tube, transfusion of bile, 3 patients surgery cases of type forward PTCD.3 hepatoduodenal ligament in patients with tumor invasion and surrounding the portal vein and hepatic artery, the line of tumor resection, portal - jejunal anastomosis and the