摘要
根治性切除术是肝门部胆管癌病人获得长期生存获益的唯一选择,然而极高的外科技术要求与伴行的围手术期风险使得此类手术尚未达到理想预期。如何在保证R0切除的基础上有效提高病人的术后残肝体积,降低病人的并发症发生率与死亡率成为胆道外科领域亟待解决的难题。此文结合目前国内外肝门部胆管癌的外科诊治进展,就术前诊断、分型分期、围手术期准备与根治性切除术的切除范围等方面进行论述,探讨各类外科决策的临床应用价值。
Radical resection is a sole option for patients with hilar cholangiocarcinoma to achieve long-term survival benefits.However,extremely stringent surgical technical requirements and accompanying perioperative risks make this type of surgery non-satisfactory.How to effectively boost the postoperative residual liver volume of patients on the basis of ensuring R0 resection,as well as lowering the incidence of complications and mortality has become an urgent challenge in biliary surgery.Based upon the latest domestic and foreign advances in the diagnosis and surgery of hilar cholangiocarcinoma,this review summarized the preoperative diagnosis,classification,staging,perioperative preparation and scope of radical resection.It also focused upon the clinical application values of various surgical strategies.
作者
崔云甫
夏浩明
Cui Yunfu;Xia Haoming(Department of Hepatopancreatobiliary Surgery,Second Affiliated Hospital,Harbin Medical University,Heilongjiang Harbin 150086,China)
出处
《腹部外科》
2021年第6期413-419,共7页
Journal of Abdominal Surgery
基金
湖北陈孝平科技发展基金会肿瘤防治研究槐耳专项基金(CXPJJH11800004-003)。
关键词
肝门部胆管癌
术前诊断
根治性切除术
R0切除
Hilar cholangiocarcinoma
Preoperative diagnosis
Radical resection
R0 resection
