肝内胆管细胞癌患者淋巴结转移及淋巴结切除术

Lymph node metastasis and lymphadenectomy of patients with intrahepatic cholangiocarcinoma

肝内胆管细胞癌（ICC）淋巴结转移为最重要的影响ICC患者生存率的因素之一。但是，对于淋巴结切除的指征以及淋巴结切除在手术中的地位和作用仍然莫衷一是。一些学者认为，针对ICC的标准外科治疗就是肝切除术联合扩大淋巴结切除术。但是，不是所有的中心都认可常规的淋巴结切除。一些中心已经报道了选择性淋巴结切除术和常规淋巴结切除术的限制性使用。本文就ICC淋巴结转移及淋巴结切除问题进行了综述。

Although lymph node metastasis （LNM） is one of the most important contributory factors to the overall survival of ICC patients, the role of lymph node dissection （LND） is still under research. Some researchers thought hepatectomy combined with extended lymphadenectomy is the standard surgical treatment for ICC. However, not all the clinical centers approved routine LND. Some centers have reported the use of selective LND and limited routine LND. This review will mainly concern lymph node metastasis and lymph node dissection.