Vascular resection and reconstruction techniques for minimally invasive radical resection of hilar cholangiocarcinoma
10.3969/j.issn.1005-6483.20250819
- VernacularTitle:微创肝门部胆管癌根治术相关的血管重建技术
- Author:
Weibo CHEN
1
;
Yang YANG
;
Guodong ZHAO
Author Information
1. 213003 常州,苏州大学附属第三医院肝胆胰外科
- Publication Type:Journal Article
- Keywords:
hilar cholangiocarcinoma;
vascular resection and reconstruction;
minimally invasive surgery
- From:
Journal of Clinical Surgery
2025;33(7):673-676
- CountryChina
- Language:Chinese
-
Abstract:
Hilar cholangiocarcinoma(HCCA)is a common malignant tumor of the biliary system.Radical HCCA resection with combined vascular resection and reconstruction can help achieve R0 resection,improve tumor resectability,and enhance patient outcomes.With the increasing popularity of minimally invasive surgical techniques such as laparoscopy and robotic surgery,more and more centers are beginning to experiment with minimally invasive HCCA resection with combined vascular resection and reconstruction.However,due to the complex anatomy of the hilum and the limitations of minimally invasive techniques,completing HCCA revascularization and reconstruction under minimally invasive conditions is particularly challenging.The author has accumulated considerable experience in minimally invasive HCCA vascular resection and reconstruction.This article will discuss the technical challenges of minimally invasive HCCA vascular resection and reconstruction,indication selection,established revascularization techniques,reconstructive skills,and remedial measures after reconstruction failure.
