Lymphadenectomy in laparoscopic radical resection of distal cholangiocarcinoma
10.3760/cma.j.issn.1673-9752.2019.02.004
- VernacularTitle:腹腔镜远端胆管癌根治术中的腹腔淋巴结清扫
- Author:
Xiaohui DUAN
1
;
Xianhai MAO
Author Information
1. 湖南省人民医院肝胆外科肝胆肿瘤研究室湖南师范大学附属第一医院
- Keywords:
Biliary tract neoplasms;
Distal cholangiocarcinoma;
Laparoscopy;
Lymphadenectomy;
En-block resection
- From:
Chinese Journal of Digestive Surgery
2019;18(2):123-127
- CountryChina
- Language:Chinese
-
Abstract:
Lymph node metastasis is the important survival predictor in patients with distal cholangiocarcinoma.With the application of laparoscopic pancreaticoduodenectomy in radical resection of distal cholangiocarcinoma,it is of great clinical significance to explore lymphadenectomy in laparoscopic radical resection of distal cholangiocarcinoma.The American Joint Committee on Cancer (AJCC) Cancer Staging Manual (8th ed) has became the new global guideline for cancer diagnosis and treatment since January 2018,which provides a new recommendation for lymphadenectomy of distal cholangiocarcinoma.This review provides an overview of the clinical significance of total lymph node count and number of involved lymph nodes,"en-block" procedure in lymphadenectomy,membrane anatomy for lymphadenectomy,experience and skills in lymph node dissection,lymph node sorting after surgery,adjuvant therapy in the treatment of distal cholangiocarcinoma.
