国际肿瘤学杂志 ›› 2018, Vol. 45 ›› Issue (11): 692-695.doi: 10.3760/cma.j.issn.1673-422X.2018.11.012

• 综述 • 上一篇    下一篇

肝门部胆管癌的术前评估和外科治疗现状

倪传斗,宋春峰,杨明军,邢鹏,张巍   

  1. 110016 沈阳,北部战区总医院肝胆外科
  • 出版日期:2018-11-08 发布日期:2018-12-21
  • 通讯作者: 张巍,Email: zhang_wei_1980@163.com E-mail:zhang_wei_1980@163.com
  • 基金资助:
    国家自然科学基金(31401215);辽宁省自然科学基金(2015020401);中国博士后科学基金(2015M582884)

Progress in the study of preoperative evaluation and surgical treatment of hilar cholangiocarcinoma

Ni Chuandou, Song Chunfeng, Yang Mingjun, Xing Peng, Zhang Wei   

  1. Department of Hepatobiliary Surgery, Genernal Hospital of Northern Theater Command, Shenyang 110016, China
  • Online:2018-11-08 Published:2018-12-21
  • Contact: Zhang Wei, Email: zhang_wei_1980@163.com E-mail:zhang_wei_1980@163.com
  • Supported by:
    National Natural Science Foundation of China (31401215); Natural Science Foundation of Liaoning Province of China (2015020401); Postdoctoral Science Foundation of China (2015M582884)

摘要: 肝门部胆管癌(HCCA)是一种来自胆道上皮的恶性肿瘤。其发病隐匿,解剖结构相对复杂,预后较差。外科手术治疗是其获得治愈的唯一方法。目前,国内外各中心在HCCA的术前评估及外科治疗方面仍存有较大争议,对HCCA的术前影像学诊断、术前胆管引流和门静脉栓塞、手术切除范围、血管切除与重建、原位肝移植等方面的进一步研究,可为HCCA临床治疗提供新的参考。

关键词: 胆管肿瘤, 胆道外科手术, 术前评估

Abstract: Hilar cholangiocarcinoma (HCCA) is a malignant tumor from the biliary epithelium. Its incidence is concealed, the anatomical structure is relatively complex, and the prognosis is poor. Surgical treatment is the only way to get a cure. At present, there are still many controversies in the preoperative evaluation and surgical treatment of HCCA at home and abroad. Further research on preoperative imaging diagnosis of HCCA, preoperative biliary drainage, portal vein embolization, scope of surgical resection, vascular resection and reconstruction, and orthotopic liver transplantation may provide a new reference for clinical treatment of HCCA.

Key words: Bile duct neoplasms, Biliary tract surgical procedures, Preoperative evaluation