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Application of multiple Roux-en-Y hepaticojejunostomy reconstruction by formation of bile hilar duct lake in the operation of hilar cholangiocarcinoma

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World Journal of Clinical Cases 2020年第1期8卷 68-75页

作者： Xiao-Jun Yang Xiao-Hua Dong Shi-Yong Chen Biao Wu Yu He Bao-Long Dong Bing-Qiang Ma Peng Gao Department of General Surgery Gansu Provincial HospitalLanzhou 730000Gansu ProvinceChina School of Clinical Medicine Ningxia Medical UniversityYinchuan 750000Ningxia Hui Autonomous RegionChina School of Clinical Medicine Gansu University of Chinese MedicineLanzhou 730000Gansu ProvinceChina

BACKGROUND Hilar cholangiocarcinoma is the most common malignant tumor of the extrahepatic bile *** now,radical resection has been the most effective method for the long-term survival of patients with the ***,many problems have emerged in the field of hepatobiliary surgery for a long time,including complex surgical procedures,low resection rate,and postoperative *** have adopted the“multiple Roux-en-Y hepaticojejunostomy reconstruction by formation of a bile duct lake”technique in the treatment of hilar cholangiocarcinoma since 2008,and obtained satisfactory short-and longterm *** To examine the feasibility of the application of multiple Roux-en-Y hepaticojejunostomy reconstruction by formation of a bile duct lake in the operation of hilar cholangiocarcinoma METHODS A retrospective analysis was performed for the clinical data,surgical methods,and results of 76 patients with hilar cholangiocarcinoma who were treated with hilar bile duct lake-forming multiple Roux-en-Y hepaticojejunostomy reconstruction at Gansu Provincial *** In all 76 cases,the operation was successful and no operative death *** mean(range)operation time was 215.4±53.5 min(124–678 min),and the amount of bleeding during the operation was 428.2±63.8 mL(240–2200 mL).The overall 1-year survival rate was 78.9%,and the 3-year survival rate was 32.8%.CONCLUSION The multiple Roux-en-Y hepaticojejunostomy reconstruction technique with formation of a bile duct lake is safe and effective for the surgical treatment of hilar cholangiocarcinoma.

关键词： Hilar cholangiocarcinoma bile duct lake Hepaticojejunostomy

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