肝内胆管细胞癌预防性清扫淋巴结现状与前景

Current status and prospect of prophylactic lymph node dissection for intrahepatic cholangiocarcinoma

肝内胆管细胞癌是一种具有高度侵袭性的肝脏恶性肿瘤,手术切除是目前唯一可能获得治愈的有效手段。淋巴结转移给准确判断根治性切除范围带来困难,国际上对于是否需要常规行淋巴结清扫以及清扫范围尚无共识。归纳并分析了目前对术前诊断无淋巴结转移的患者行预防性清扫淋巴结所存在的争议和问题,希望能为肝内胆管细胞癌的根治性切除提供参考。

Intrahepatic cholangiocarcinoma is a highly invasive malignant tumor,and at present,surgical resection is the only effective way for cure.Lymph node metastasis makes it difficult to accurately judge the extent of radical resection,and no international consensus has been reached on the need for routine lymph node dissection and the extent of lymph node dissection.This article summarizes and analyzes the disputes and problems in preventive lymph node dissection for patients without lymph node metastasis before surgery,hoping to provide a reference for radical resection of intrahepatic cholangiocarcinoma.