頁籤選單縮合
題 名 | 肝外膽道癌 |
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作 者 | 陳華宗; 陳鴻熙; 陳之凱; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 16:2 1983.06[民72.06] |
頁 次 | 頁206-213 |
分類號 | 416.247 |
關鍵詞 | 肝外膽道癌; |
語 文 | 中文(Chinese) |
中文摘要 | 三軍總醫院一般外科於1971至1982年間總共發現26例肝外胆道癌患者。臨床症狀以阻塞性黃胆為主,理學檢查80%有肝臟腫大,31%有胆囊腫大。大部分經由PTC及ERCP確立診斷,其中22例確由手術或病理切片證實。由於大多數患者的腫瘤發現較晚,侵犯較廣而無法完全切除。真正可完全切除者僅有3例,其餘大多數僅能予以減緩性內外向引流術(palliative external or internal diversion)手術後死亡率有16.3%,併發症發病率36.3%,其中一例腫瘤介於胆囊管及總肝管之間,可予以完全切除,再行肝門空腸吻合術(hepaticoportojejunostorny)術後至今已十一個月,情況仍很良好。 |
英文摘要 | Twenty-Six cases of carcinoma of the extrahepatic biliary tract were collected in the Division of General Surgery, TriService General Hospital from 1971 to 1982. The major clinical presentation was jaundice and physical exarnination disclosed 80% of hepatomegaly and 31% of distention of the gall bladder. The best diagnostic procedures were PTC and ERCP. Twenty-two cases were proved by operation and/or pathology. Most tumors were too late and too extensive to be totally resected. Only 3 cases whose tumors were totally resected and most cases received palliative external or internal diversion and biopsy only. The postoperative mortality rate was 16.3% and the morbidity rate 36.3%. Fortunately, a case whose tumor located between cystic duct and common hepatic duct, received total resection of tumor and Roux-en-Y hepaticoportojejunostomy. This patient is still alive in good condition 11 months after operation. |
本系統中英文摘要資訊取自各篇刊載內容。