微创手术在肝内胆管细胞癌中的应用价值

Application Value of Minimally Invasive Surgery in Intrahepatic Cholangiocarcinoma

肝内胆管细胞癌(ICC)是一类具有高度侵袭性的肝脏恶性肿瘤,常伴有淋巴结转移,病情进展快,预后差,手术切除是目前唯一可能的治愈手段。近年来,腹腔镜技术用于肝细胞肝癌的治疗获得了良好的效果,该技术也受到了越来越多的认可。但腹腔镜技术用于ICC的治疗还比较少,治疗效果也存在争议,目前ICC仍以开腹手术治疗为主。机器人手术是一种新兴的微创治疗手段,正越来越多地运用于肝脏肿瘤的治疗,其治疗效果与开腹手术和腹腔镜手术相当,但更精准,是未来ICC治疗发展的方向。

Intrahepatic cholangiocarcinoma(ICC)is a kind of highly invasive liver malignant tumor,often accompanied by lymph node metastasis,with rapid progress and poor prognosis,and surgical resection is the only possible cure.In recent years,laparoscopy has achieved good results in the treatment of hepatocellular carcinoma,and this technology has also been recognized more and more.However,laparoscopy is still rarely used in the treatment of ICC,and the therapeutic effect is controversial.At present,open surgery is still the mainly treatment of ICC.Robotic surgery,an emerging minimally invasive treatment method,is increasingly used in the treatment of liver tumors,which has equivalent therapeutic effect to laparotomy and laparoscopic surgery,but is more accurate,and is the direction of future ICC treatment development.