【摘要】 目的 探讨肝门部胆管癌外科治疗的效果。方法 从临床资料、手术方式和治疗结果等方面对近10年来17例行手术治疗的肝门部胆管癌进行回顾性研究。结果 有14例获得随访，肿瘤切除组患者中位生存期为19个月;引流术组患者中位生存期为7.8个月。结论 外科治疗是肝门部胆管癌的主要治疗方法，联合应用化、放疗可能改善患者的生活质量和生存期。

    关键词 胆管癌 治疗结果 外科手术

    Surgical treatment of hilar cholangiocarcinoma Liu Zongrong，Ma Cong，Gai Lianlian，et al. Nanshan People’s Hospital，Shenzhen518052.

    【Abstract】 Objective To evaluate the efficacy of surgical treatment of hilar cholangiocarcinoma.Methods Clinical data，operating ways and therapeutical results of17hilar cholangiocarcinoma patients were reviewed from Jan1993to Apr2004.Results 14cases were followed-up.The median survive time was19months in the patients with reˉsection，7.8months in the patients with non-resectional drainage.Conclusion Surgical operation is the primary treatˉment of hilar cholangiocarcinoma.Radiotherapy and chemotherapy may help to improve the quality of patients’

    life and extend patients’survival.

    Key words cholangiocarcinoma treatment outcome biliary tract surgery

    由于肝门部胆管癌特殊的解剖关系及生物学特征 ......