肝门型胆囊癌和肝门部胆管癌诊治鉴别的研究进展

Research progressive study on the diagnostic and therapeutic differentiation of hepatic hilum type gallbladder cancer and hilar cholangiocarcinoma

肝门型胆囊癌和肝门部胆管癌均属于胆道恶性肿瘤,临床上容易误诊,恶性程度高,治疗方式有限,手术R0切除率低,预后不佳,当胆囊癌侵犯肝门部时,与肝门部胆管癌均属于围肝门区肿瘤,常常造成黄疸伴肝损害等症状,但两者早期从临床症状难以诊断。是否术前引流是胆道外科疾病常见的争议点,微创入路的优势和难点,以及如何去解决,手术的切除范围等,本文将对以上内容展开论述,对两种类型的疾病进行鉴别,同时提出一些思考和展望,以供临床参考。

Both hepatic hilum type gallbladder cancer and hilar cholangiocarcinoma are malignant tumors of the biliary tract.In clinic,the two types of cancer are easy to be misdiagnosed.They have high degree of malignancy,limited treatment modalities,low surgical RO resection rate,and poor prognosis.When gallbladder cancer invades the hepatic hilum area,it and extrahepatic cholangiocarcinoma all are perihepatic tumors.It often causes similar symptoms such as jaundice with liver damage.However,they are difficult to be diagnosed in early stage from the clinical symptoms.Whether or not to drain preoperatively is a common point of controversy in biliary surgical diseases.It is also controversial points such as the advantages and difficulties of minimally invasive access and how to solve them as well as the extent of surgical resection.All of these will be discussed in detail in this paper.The article will identify the two types of diseases,and at the same time,put forward some reflections and outlooks in order to provide clinical references.