武警医学2012，Vol.23Issue(3)：210-213,4.
肝门部胆管癌49例手术并发症分析
Prognostic factors for postoperative complications of hilar cholangiocarcinoma in 49 patients
金昌国 1张利刚 2欧阳才国 2董家鸿2
作者信息
- 1. 100853,北京,解放军军医进修学院
- 2. 100049,北京,航天中心医院肝胆外科
- 折叠
摘要
Abstract
Objective To analyze prognostic factors for postoperative complications of hilar cholangiocarcinoma ( HCC ) . Methods A retrospective clinical analysis was conducted in 49 patients with hilar cholangiocarcinoma, who were admitted to Beijing Aerospace Central Hospital between June 2000 and May 2010. Univariate and multivariate analysis was carried out. Results 23 pa-tients(46. 9% ) with HCC experienced postoperative complications, the most common of which was bile leakage(28. 1% ) ,followed by intraabdominal infection( 18. 8% ) and pleural effusion( 15. 6% ) and wound infection( 12. 5% ). 3 patients(6% ) died after op-eratiopn. A total of 13 possible prognostic factors were analyzed. Univariate analysis showed that significant prognostic factors for postoperative complications in patients with HCC were combined hepatectomy ( P = 0.017), vascular resection and reconstruction ( P = 0. 026 ) , operative time ( P = 0. 033 ) , Bismuth - Corlette ( B - C ) type ( P = 0. 001 ) , operative blood loss ( P = 0. 003 ) , and blood transfusion(P =0. 017). Multivariate analysis indicated combined hepatectomy ( P =0. 011), operative time(P = 0. 027) and operative blood loss ( P = 0. 022 ) as independent prognostic factors. Conclusion Accurate preoperative assessment, intensive periop-erative management, use of time - saving surgical techniques, and the reduction of operative blood loss and the surgical extent for the patients with HCC will significantly reduce the incidence of postoperative complications.关键词
肝门部胆管癌/手术/并发症Key words
hilar cholangiocarcinoma/ surgical operation/ complication分类
临床医学引用本文复制引用
金昌国,张利刚,欧阳才国,董家鸿..肝门部胆管癌49例手术并发症分析[J].武警医学,2012,23(3):210-213,4.
