Abstract:

Analysis on surgical treatment of obstructive jaundice caused by cancer thrombi in the bile duct in 9 casesHAN Jian.Department of Surgery，Nanjing Government Hospital， Nanjing  210018,China； ZHOU Jia-hua. Departmetn of General Surgery, Affiliated Zhongda Hospital to Southeast University, Nanjing 210009, China
【Ａｂｓｔｒａｃｔ】　Ｏｂｊｅｃｔｉｖｅ To evaluate surgical therapy and the effect of obstructive jaundice caused by cancer thrombi in the bile duct．ＭｅｔｈｏｄｓFrom 1990 to 2002， 9 patients with  hepatocellular carcinoma or bile duct carcinoma and bile duct thrombi(BDT) who underwent surgical intervention were retrospectively analyzed．ＲｅｓｕｌｔｓAmong all the patients，four primary tumors and cholangio carcinoma bolt radical resection，5 regular palliative cholangio carcinoma bolt removal and T-tube drainage．5 patients via bile duct cut tumor emboli clear signs and symptoms and alleviate postoperative jaundice，1-4 months，the average survival time were 4-6 months，4 patients after left lobe or cholangio carcinoma eradicative resection of 1.5-2 years recurrence or distant metastasis．ＣｏｎｃｌｕｓｉｏｎｓJaundice caused by cancer thrombi in the bile duct was not the operation contraindication，surgical intervention could be an effective way of treatment．
【Key　ｗｏｒｄｓ】carcinoma； bile duct thrombi； obstructive jaundice