Hilar bile duct invasion of gallbladder carcinoma Surgical treatment _1299

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Hilar bile duct invasion of gallbladder carcinoma Surgical treatment
 
 
Renal function,You are not allowed to view links. Register or Login, jaundice can be used as preparation before surgery, but the lesions still exist and develop, so the no distant metastasis, the situation is comparatively good of the patient should take a positive attitude. Endoscopic Surgery and physicians should cooperate with each other to discuss treatment options and reduce the treatment of patients lost different point of view Erzhi radical opportunities. 3.2 Specification of extended radical resection has been reported with the experience of gallbladder and common bile duct lymph node posterior pancreaticoduodenal lymph node metastasis rate was higher, at 44 and 38, hilar lymph node metastasis rate was 18 [6]. Aortic lymph node is the end of the lymphatic drainage of cystic lymphatic station,You are not allowed to view links. Register or Login, can be regarded as the third leg of the lymphatic station. Skip metastasis of gallbladder carcinoma can occur, so even if the hepatoduodenal ligament lymph node metastasis,You are not allowed to view links. Register or Login, it should probe around the abdominal artery after pancreatic and para-aortic lymph nodes to determine whether the transfer. The author believes that gallbladder cancer should include en bloc extended radical resection of primary tumor and the surrounding structure involvement, lymph node dissection should be extended to the third station. First, the extent of liver resection margins should be negative in real terms to determine the liver, such as the limitations of possible tumor resection or liver S4b liver bed resection plus S5, if the infiltration of the liver bed more than 2.0cm or 1 or 2 liver metastatic nodules, as long as the liver reserve well and should be treated by extended right lobe resection. Then hepatic ligament (including hilar lymph nodes and lymph nodes after pancreaticoduodenectomy) cleaning. The group of 28 patients extended radical mastectomy in 17 cases, including 1 case of hepatic caudate lobe resection,You are not allowed to view links. Register or Login, extended right hepatic lobectomy in 2 cases, HPD4 cases, parallel hepatoduodenal ligament paraneoplastic and celiac artery lymph node dissection, satisfactory efficacy, 2 patients survived more than 2 years. In addition to direct invasion of advanced gallbladder carcinoma, the lymph node metastasis along the main pancreatic duct to the root of the superior mesenteric artery and after the transfer, only the United cure the common bile duct and pancreatic resection plus lymph node dissection in order to improve long-term efficacy. Authors believe that, HPD thorough cleaning can improve the degree of gallbladder surgery is an effective measure to improve the prognosis. We are in advanced gallbladder carcinoma had a higher removal rate and lymph nodes (lymph nodes, including the third stop) 3.3 gallbladder surgery after comprehensive treatment often due to tumor recurrence, metastasis and prognosis. With the local area nearly 2O years of continuous application of technology infusion chemotherapy, which made a large dose of local high concentrations of chemotherapy drugs together to more effectively kill the local residual tumor foci and small foci within the liver. Hepatic artery and bile duct catheter infusion pump chemotherapy, so that local high concentrations of chemotherapy drugs to maintain a long time, enhanced anti-tumor effect, effectively kill or inhibit the transfer of small foci of liver and bile duct of the residual foci , with two-way destroy cancer effects. 4 patients in this group hepatic artery and bile duct catheter pump Expansion of foreign literature radical surgery combined with advanced gallbladder carcinoma intraoperative radiotherapy,You are not allowed to view links. Register or Login, chemotherapy or hyperthermia combined with radiotherapy and chemotherapy may extend survival period.