Advantages,challenges,and optimization strategies of robotic radical resection for perihilar cholangiocarcinoma
10.7659/j.issn.1005-6947.250225
- VernacularTitle:机器人肝门部胆管癌根治术的优势、挑战及优化策略
- Author:
Peng CAO
1
;
Jiangtao LI
1
;
Xiaoming DAI
1
;
Guodong CHEN
1
Author Information
1. 南华大学附属第一医院肝胆胰外科,湖南衡阳 421001
- Publication Type:Journal Article
- Keywords:
Klatskin Tumor;
Robotic Surgical Procedures;
Lymph Node Excision
- From:
Chinese Journal of General Surgery
2025;34(8):1640-1647
- CountryChina
- Language:Chinese
-
Abstract:
Perihilar cholangiocarcinoma(PHCC)has an insidious onset,is highly aggressive,and carries a poor prognosis.Radical surgical resection is crucial for improving patient survival.Due to the complex anatomy of the hepatic hilum,conventional laparoscopic surgery faces numerous challenges.In recent years,robotic surgery has shown significant potential in PHCC procedures,owing to its high-definition naked-eye 3D visualization,precise maneuvers,and superior dexterity.However,its widespread adoption remains limited by high costs,restricted intraoperative working space,and the absence of tactile feedback.Drawing on international research progress and our own clinical experience,this article analyzes optimization strategies including assessment of local tumor involvement,rational trocar placement,lymphatic and neural plexus dissection,determination of the extent of hepatectomy,vascular resection and reconstruction,bile duct reconstruction,and choledochojejunostomy.The aim is to explore approaches to overcoming these challenges and breaking through existing limitations,thereby providing new strategies and technical pathways for precise minimally invasive treatment of PHCC.
