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

摘要： 【摘要】〓目的〓探讨半肝联合肝动脉切除治疗Bismuth IIIa、IIIb及IV型肝门部胆管癌的临床疗效和安全性。方法〓回顾性分析我院外科收治的采用半肝联合肝动脉切除治疗的30例患者临床资料,其中8例患者切除右半肝,19例患者切除左半肝,2例患者切除左三叶,1例患者联合尾状叶部分切除,所有均切除肝固有动脉。结果〓本研究30例患者,其中腺癌22例,黏液腺癌2例,腺鳞癌3例,乳头状腺癌2例,透明细胞癌1例。组织学分级:高分化癌15例,中分化癌10例,低分化癌5例。有13例患者发生并发症,其发生率为43.33%。结论〓半肝联合肝动脉术可提高BismuthⅢ、Ⅳ型肝门胆管癌患者根治性切除率,有利于延长患者的生存时间和提高生活质量。

关键词: 肝门部胆管癌, 肝动脉切除, 肝切除术, 疗效