不断提高肝门部胆管癌切除的精准化水平

Continuous improvement of curative effect of hilar cholangiocarcinoma by precise liver surgical technique

医学及相关领域学科的持续发展及不断增长的需求推动着传统外科向以精确决策和精准操作为特征的精准外科转化。最大化清除病灶、最小创伤侵袭和最大程度脏器保护是精准外科的追求目标。肝门部胆管癌由于特殊的解剖学位置和生物学特性,其治疗极具挑战性。为了达到精准外科的要求,术前需对肝门区解剖结构、肿瘤的生物学特征以及肝脏功能储备情况等予以充分了解,同时对于术前预处理、肝切除技术和血管、胆管重建技术应予充分掌握。

Continuous progress and growing requirements in medicine and related areas are initiating and motivating a paradigm transformation of traditional surgery to precise surgery, which is characterized by precision in decision making and surgical intervention. The strategy of precise surgery is to seek a balance of maximized lesion removal, maximized organ sparing and minimal surgical invasiveness. Due to the special location and biological characteristics, the therapeutic management of hilar cholangiocarcinoma is still challenging. To meet the demand of precise surgery, the knowledge of anatomy, biological characteristics and liver functional reserve should be evaluated preoperatively and the technical aspects of pre-surgical intervention, liver resection and reconstruction of vessels are also very important.