Current status and issues in the surgical treatment of perihilar cholangiocarcinoma
10.3760/cma.j.cn113855-20250507-00261
- VernacularTitle:肝门部胆管癌外科治疗现状与问题
- Author:
Yanxin CHANG
1
;
Yongjie ZHANG
1
Author Information
1. 海军军医大学第三附属医院胆道二科，上海 200438
- Publication Type:Journal Article
- Keywords:
Klatskin tumor;
Surgical procedures,operative;
Lymphadenectomy
- From:
Chinese Journal of General Surgery
2025;40(7):513-519
- CountryChina
- Language:Chinese
-
Abstract:
Hilar cholangiocarcinoma is a common biliary malignancy. Surgical resection is still the mainstay in the persue for long-term survival. However, due to difficult early diagnosis and complex surgery, radical resection rates are low, and prognoses are poor. Combining our team's experience, this article comprehensively sums up the present state, progress, and challenges in hilar cholangiocarcinoma's radical resection, covering preoperative assessment, preoperative jaundice reduction, managing insufficient residual liver volume, determining resection margins, minimally invasive surgery, and lymphadenectomy. To enhance treatment and prognosis, future efforts should focus on multidisciplinary collaboration, while emphasizing the importance of comprehensive treatments, surgical technique enhancement, individualized therapy, and high-quality clinical research. This will offer stronger evidence-based support for clinical practice.
