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重视合并肝切除在肝门胆管癌根治术中的地位 被引量：7

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摘要 肝门部胆管癌（hilarcholan舀ocarcinoma）是指发生于胆囊管开口以上的肝总管及左右肝管的胆管癌，约占胆管癌的60％～70％，好发于50—70岁的中老年人。因Klatskin0lJ首先对胆管分叉部腺癌的病理特点进行描述，故又将肝门部胆管癌称为Klatskin瘤。肝门部胆管癌具有侵犯邻近肝脏、周围血管及神经，并发生淋巴结转移的特点，手术切除困难。手术切除是最有效和首选的治疗方法，而切缘无瘤是改善患者远期预后的重要因素。
作者 刘允怡 赖俊雄 刘晓欣
机构地区 香港中文大学医学院
出处 《中华普通外科杂志》 CSCD 北大核心 2013年第11期817-818,共2页 Chinese Journal of General Surgery
关键词 胆管癌根治术 肝门部胆管癌 肝切除 KLATSKIN瘤 手术切除 胆囊管开口 淋巴结转移 左右肝管
分类号 R735.8 [医药卫生—肿瘤]
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参考文献17

  • 1Klatskin G.Adenocarcinoma of the hepatic duct at its bifurcationwithin the portahepatis.An unusual tumor with distinctiveclinical and pathological features.Am J Med,1965,38:241-256.
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同被引文献45

  • 1曹利平,蒋达峰,彭淑牖.肝叶切除术在肝门胆管癌手术中应用的价值[J].中华普通外科杂志,2006,21(3):161-163. 被引量：5
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  • 3Qiu J, Chen S, Pankaj P, Wu H. Portal Vein Arterializatinn as a Bridge Procedure Against Acute Liver Failure After Extended Hepatectomy for Hilar Cholangiocarcinoma [ J ]. Surg Innov, 2013,21 (4) :372-375.
  • 4Hirano S, Kondo S, Tanaka E, et al. Outcome of surgical treatment of hilar cholangiocarcinoma: a special reference to postoperative morbidity and mortality [ J ]. J Hepatobiliary Pancreat Sci. 2010.17(4):455-462.
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  • 6Kawasaki S, Imamura H, Kobayashi A, et al. Results of surgical resection for patients with hilar bile duct cancers:application of extended hepatectomy after biliary drainage and hemihepatic portal vein embolization[ J]. Ann Surg, 2003,238:84-92.
  • 7Makuuchi M, Thai BL, Takayasu K, et al. Preoperative portal embolization to increase safety of major hepatectomy for hilar bile duct carcinoma: a preliminary report [ J ]. Surgery, 1990,107 : 521-527.
  • 8Schnitzbauer AA, Lang SA, Goessmann H, et al. Right portal vein ligation combined with in situ splitting induces rapid left lateral liver lobe hypertrophy enabling 2-staged extended right hepatic resection in small-for-size settings[ J]. Ann Surg, 2012, 255 ( 3 ) :405-414.
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引证文献7

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中华普通外科杂志
2013年 第11期

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