肝门部胆管癌外科治疗的研究进展

Research progress in the surgical treatment of hilar cholangiocarcinoma

肝门部胆管癌(HCCA)起病隐匿、预后不良,外科手术是可能治愈HCCA的唯一手段。分型系统与术前影像学检查结果影响着HCCA患者手术方式的选择与预后的判断。本文综述了有关HCCA的分型系统、影像学检查、胆道引流方式、功能性残肝体积不足的治疗、术后辅助治疗、肝移植手术、切除范围等热点问题的研究进展。

Hilar cholangiocarcinoma(HCCA)is a type of bile duct cancer with insidious onset and poor prognosis.Surgical resection is the only potentially curative treatment.The selection of surgical approaches and prognosis assessment depend on different classification systems and preoperative imaging results.This article reviews the progress in classification systems,imaging modalities,biliary drainage techniques,postoperative adjuvant therapy,future liver remnant insufficiency treatment,liver transplantation and resection extent for HCCA.