摘要
自20世纪80年代以来，肝门部胆管癌的外科治疗策略发生了很大的变化。目前，对大多数的盱门部胆管癌，最常采用的手术是肝叶或扩大肝叶切除、肝外胆管切除、区域性淋巴结廓清和Roux—en-Y胆管空肠吻合。但是，由于肝门部胆管癌诊治的复杂性，目前在手术前处理、剩余肝脏储备功能的评估、手术方式选择、术后辅助治疗等方面仍然有诸多争议。
Since the 1980s, indications for resection of hilar cholangiocareinoma have progressively improved. Operation is superior to any other therapeutic modalities with regard to survival rate and quality of life. Currently, hepatic lobeetomy, extended hepatic lobectomy, extrahepatic bile duct resection, regional lymphadenectomy and Roux-en-Y hepatoenteric jejunostomy are reconnnended as the treatment of choice for most patients with hilar cholangiocarcinoma. However, controversy still remains regarding the diagnosis and treatment of hilar cholangiocarcinoma, including the assessment of longitudinal tumor extension, the evaluation of hepatic reserve function, the value of biliary drainage, the indication of portal vein embolization, the range of hepatic resection, the contribution of combined vascular resection, and the effectiveness of liver transplantation. This article summarizes these main issues requiring further investigation.
出处
《中华消化外科杂志》
CAS
CSCD
2010年第3期165-167,共3页
Chinese Journal of Digestive Surgery
关键词
胆管肿瘤
肝门
外科手术
治疗
争议
Cholangiocarcinoma, hilar
Surgical procedures, operative
Therapy
Controversy
