肝内胆管细胞癌手术治疗策略的进展

Progress on strategy of surgical treatment for intrahepatic cholangiocarcinoma

肝内胆管细胞癌是第2常见的原发性肝癌，易转移复发，预后较差。根治性手术是唯一可能治愈肝内胆管细胞癌的治疗方式。近年来，随着对肝内胆管细胞癌生物学行为认识的深入以及手术技术方法的进步，其手术治疗策略已发生明显的变化，研究者对治疗的手术指征、肝切除范围以及淋巴结清扫等方面也有了新的认识。此外，复发性肝内胆管细胞癌的治疗策略也发生了新的变化。

Intrahepatic cholangiocarcinoma is the second commonest primary malignant tumor in liver. It carries a poor prognosis because of the highly invasive and metastatic charac- ters. Radical resection may be the only cured way for intrahepa- tic cholangiocarcinoma. In the past few years, the surgical strategy has changed a lot due to the understanding of the biological behavior and advance of surgical techniques. These changes mainly focused on the surgical indication, liver resection and lymphadenectomy. In addition, the treatment strategy to the reccurent intrahepatic cholangiocarcinoma has also been evolved.