Recent advances in surgical treatment of complex hilar cholangiocarcinoma
10.3969/j.issn.1001-5256.2014.11.006
- VernacularTitle:复杂性肝门胆管癌手术根治的新技术
- Author:
Geliang XU
- Publication Type:Journal Article
- Keywords:
biliary tract neoplasms;
biliary tract surgical procedures;
lymph node excision
- From:
Journal of Clinical Hepatology
2014;30(11):1120-1122
- CountryChina
- Language:Chinese
-
Abstract:
Complex hilar cholangiocarcinoma is a great challenge to surgeons in hepatic surgery,not only because of its great degree of oper-ation difficulty,but also the high surgical risk and low R0 resection rate.Noticeably,R0 resection,lymph node infringement,and vessel re-section are regarded as three independent prognostic factors for complex hilar cholangiocarcinoma.In recent years,with the advancement of surgical techniques such as precise liver resection using preoperative 3D imaging,application of radical tumor resection while preserving nor-mal liver parenchyma for patients who are suitable for this surgical process,combined hepatic resection and vascular resection,and perform-ance of reasonable extent of lymph node dissection,it is hoped to increase the curative resection rate for patients with Bismuth typeⅢandⅣcomplex hilar cholangiocarcinoma,improve their quality of life,and prolong their survival time.
