肝外胆管癌所致黄疸的术前引流及并发症防治策略

Preoperative drainage and complication prevention strategies for jaundice caused by extrahepatic cholangiocarcinoma

肝外胆管癌部分或完全阻塞胆汁流出道常导致黄疸,不仅会引发患者皮肤瘙痒,还可通过一系列病理生理过程破坏机体内环境,降低肿瘤可切除患者的手术耐受性,影响预后。术前胆道引流即减黄,可以解除胆道梗阻,但各种随之出现的并发症同样会给治疗造成不良影响。该文详细阐述了不同减黄方式的弊端、术前减黄指征、不同类型肝外胆管癌的减黄选择、肝外胆管癌术前减黄的并发症及治疗方式,旨在为临床医生提供参考,让患者更好地受益于术前减黄。

Partial or complete blockage of the bile outflow tract by extrahepatic cholangiocarcinoma often leads to jaundice,which not only causes skin itching in patients,but also destroys the body environment through a series of pathophysiological processes,reduces the surgical tolerance of patients with resectable tumors,and affects the prognosis.Preoperative jaundice reduction can reduce jaundice and relieve biliary obstruction,but the various complications that follow will also adversely affect the treatment.This article elaborates on the disadvantages of different methods for jaundice reduction,the indications for preoperative jaundice reduction,the jaundice reduction options for different types of extrahepatic cholangiocarcinoma,the complications and treatment methods of preoperative jaundice reduction for extrahepatic cholangiocarcinoma,aiming to provide a reference for clinicians,so that patients can better benefit from preoperative jaundice reduction.