Research progress in surgical standards for biliary tract cancer
10.3760/cma.j.cn113884-20240517-00148
- VernacularTitle:胆道肿瘤手术规范的研究进展
- Author:
Yingbin LIU
1
;
Weikang YAN
Author Information
1. 上海交通大学医学院附属仁济医院胆胰外科 上海市肿瘤系统调控与临床转化重点实验室 肿瘤系统医学全国重点实验室,上海 200127
- Keywords:
Gallbladder neoplasms;
Resectability assessment;
Preoperative biliary drainage;
Liver lobar hyperplasia technique
- From:
Chinese Journal of Hepatobiliary Surgery
2024;30(6):401-406
- CountryChina
- Language:Chinese
-
Abstract:
Surgery for biliary tract cancer (BTC) is characterized by technical difficulty, high morbidity, and poor prognosis. Establishing the surgical standards for BTC is crucial for a better quality of medical care, prolonged survival, and improved prognosis. The surgical standards for BTC consist of preoperative evaluation, preoperative management, and surgical procedures. In preoperative evaluation and management, the fashions of preoperative biliary drainage and the strategies for liver remnant enlargement remain controversial. In surgical procedures, the appropriate extent of liver resection, the management of bile duct margins, the indication of vascular resection and reconstruction, and the extent of lymphadenectomy remain debated. More insights into these controversies contribute to better surgical standards.