Diagnosis and surgical treatment of primary hepatocellular carcinoma with bile duct thrombi
- VernacularTitle:肝癌合并胆管内癌栓的诊断与治疗效果
- Author:
Xiaoxue SONG
;
Wei XIE
;
Anren SUN
;
Xiang FU
- Publication Type:Journal Article
- Keywords:
hepatocellular carcinoma;
bile duct thrombi;
hepatectomy
- From:Journal of Third Military Medical University
2003;0(14):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of surgical treatment for primary hepatocellular carcinoma(HCC) with bile duct thrombi(BDT).Methods Eleven cases were diagnosed as HCC with BDT by B ultrasound,CT,MRCP or ERCP.Hepatectomy and choledochotomy were performed,resecting the primary tumor and cleaning the BDT completely,followed with TACE.Results No patients died during operation.The survival time of 9 patients who received hepatectomy and BDT clearance ranged from 3 to 38(average 18.5) months,and that of the other two patients received TACE and BDT clearance survived 6 and 11 months respectively.Conclusion Accurate diagnosis and radical hepatectomy with complete BDT clearance are effective treatment for HCC with BDT.
