关键词: 肝门部胆管癌, 肝动脉切除, 肝切除术, 疗效

Abstract: 【Abstract】〓Objective〓To explore the clinical outcome and the security of combined hepatic artery resection and hemi-hepatectomy in the patients with hilar cholangiocarcinoma (Bismuth IIIa, Ⅲb, Ⅳ). Methods〓Thirty cases with hilar cholangiocarcinoma were included in this study and their clinical data were analyzed retrospectively..Of them,8 patients underwent the surgery of right Hemihepatectomy as well hepatic arterectomy,19 cases of left hemihepatectomy, 2 cases of ultimate hepatectomy and one case of the caudate lobe resection. Results〓Pathological results showed adenocarcinoma in 22 cases, mucinous adenocarcinoma in 2 cases, adenosquamous carcinoma in 3 cases,.papillary adenocarcinoma in 2 cases and clear-cell carcinoma in one case. There were 5 cases with poorly differentiated carcinoma,.10 cases with moderately carcinoma and 15 cases with wel1 differentiated carcinoma..Complications occured in 13 case (13/30). Conclusion〓In the present paper,.we showed the combined hepatic artery resection and hemihepatectomy was a safe and had good outcomes,.which could increase the radical excision proportion.

Key words: Bileductneoplasm, Hepatic arterectomy, Hepatectomy, Effect