1)can cut off the choice of department bile duct cancer surgical operation in liver door method:
The ① liver department bile duct in the door, Dan manager and gall bladder cut off, the Dan bowel fit together.Being applicable to didn't invade and liver substantial liver manager cancer.
② Liver square, leaf, or add the part excision of right ex- leaf and department bile duct in the liver door, the liver outside bile duct excision, Dan bowel to fit together.Be applicable to liver manager cancer or remit to match a bile duct cancer.
③ Liver square, leaf, or left half liver cut off and department bile duct in the liver door, the liver outside bile duct cuts off, the Dan bowel fit together.Be applicable to left liver tube and liver manager cancer.
④ Liver square, leaf, or right half liver cut off and the department bile duct in the liver door, the liver outside bile duct excision, Dan bowel fit together.Be applicable to right liver tube and liver manager cancer.
The ⑤ super half liver or three livers cut off and department bile duct, bile duct outside the liver, parts of excisions of tail-like in shape leaf and Dan bowel in the liver door fit together.Be applicable to a left or right liver tube cancer to invade and second class above liver tube and tail-like in shape leaf liver tube.
The ⑥ appeasement cuts off.Liver square, leaf, and the department bile duct in the liver door, the liver outside bile duct excision, Dan bowel fit together, and remain parts of cancer organizations such as tail-like in shape leaf liver tube or vein ex- wall in door.
Vein lord in the ⑦ door stem, remit to match a department or or so dry the ex- wall is subjected to infringe upon cut off it implicates parts of vein walls then to afferent repair rebuild, Shu behind assist with the chamber inside put to treat.
(2)department bile duct cancer in liver door past interest surgical operation:
It is an appeasement surgical operation for choosing method to lead to flow Shu inside the Dan bowel.The principle is a Dan bowel to fit together should as far as possible keep off a focus.The bile duct circumstance that shows to extend according to PTC chooses that the Dan bowel fits together part.Parts of cases infringe upon a liver door because of focus, or atrophy because of the liver-fatty greatly reunite to advertise for existence, atrophy leaf's bile duct to fit together, lead to don't greatly flow value.Fatty big leaf's bile duct rears a difficulty, not a few cases that can not cut off only can place a tube to lead to flow.The in common use method is to extend a cancer narrow behind place the thick but harder T form tube, U form possibly tube or inside prop up pipe.The T form takes care of through the Dan manager or through liver derivation all can.For prevent°froming slippery take off, should will lead to flow a tube to sew up is more fixed than bile duct wall and surroundings organization up, and do a last jejunum loses the gall at returning after building the Lou provide Shu and takes care of Si nourishment when it's necessary.The non- surgical operation places a tube to lead to flow the in common use method as PTCD, can also through PTCD Dou way the extension place behind inside prop up a tube.Once wore a narrow segment.
(3)medium, the lower part bile duct cancer resection:
Medium, lower part bile duct the cancer is more seldom seen than department in the liver door and nipple department cancer.Currently majority of scholars is its surgical operation methods are Yi head, 12 bowel resections.Medium the lower part cancer can not cut off, can use the above-mentioned appeasement a method.
The surgical operation of bile duct cancer cures
3.12.2009
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