机器人肝内胆管细胞癌侵犯肝门部根治性切除术  

Robotic assisted radical resection of intra-hepatic cholangiocarcinoma with hilar invasion

作　　者：赵国栋[1] Zhao Guodong(Faculty of Hepato-Pancreato-Biliary Surgery,Chinese PLA General Hospital,Bejing 100853,China)

机构地区：[1]解放军总医院肝胆胰外科医学部,北京100853

出　　处：《中华普外科手术学杂志（电子版）》2022年第6期603-603,共1页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

基　　金：国家重点研发计划(2017YFC0110405)。

摘　　要：本手术是机器人下左肝内胆管细胞癌侵犯肝门部根治性切除术,术中参考Bismuth Ⅲb型肝门部胆管癌根治方式,一并切除左半肝及全尾叶,右侧3根肝管成形,经L孔结肠后高位胆肠吻合术,并行区域性淋巴结清扫。整个手术过程顺利,镜下操作时长175min,无显性失血。目前临床上此类手术报道极少,缺乏统一规范的方法。本手术集中展示了解放军总医院团队手术方法,重复性好,在标本切除顺序、淋巴结清扫方法和高位胆肠吻合等方面均有一定的技术特色。This is a case of robotic assisted radical resection of intra-hepatic cholangiocarcinoma located in left liver with hilar invasion.Surgical strategy took that of Bismuth type II b hilar cholangiocarcinoma for reference,which included resection of left lobe and left caudate lobe,choledochoplasty of three branches of right hepatic duct,trans-L foramen retro-colon high level hepato-jejunostomy,and radical resection of regional lymph node.The surgery operation was uneventful,with an endoscopic operative duration of 175 mins,and no significant blood loss.Similar clinical reports remained very few,and no unified and standardized methods exists.This case showed the surgical methods of the our team in Chinese PLA General Hospital,with a good repeatability,and was technical special in the sequence of specimen resection,the method of lymphadenectomy and high-level hepato-jejunostomy.

关 键 词：肝内胆管细胞癌 肝门部胆管癌 机器人手术 

分 类 号：R735.8[医药卫生—肿瘤]