扩大根治术在肝门部胆管癌中的应用  

Application of extended radical surgery in hilar cholangiocarcinoma

作　　者：胡雅菲 胡海洁 李富宇[1] HU Yafei;HU Haijie;LI Fuyu(Department of Biliary Surgery,West China Hospital of Sichuan University,Chengdu 610041,P.R.China)

机构地区：[1]四川大学华西医院胆道外科,成都610041

出　　处：《中国普外基础与临床杂志》2022年第12期1554-1558,共5页Chinese Journal of Bases and Clinics In General Surgery

基　　金：四川大学华西医院1.3.5项目(项目编号:ZYJC21046)。

摘　　要：目前,扩大根治术在肝门部胆管癌(hilar cholangiocarcinoma,hCCA)中的应用争议较大,笔者综述了近年来发表的相关文献并结合自己的经验,初步探讨了扩大根治术在hCCA中的应用价值,认为:对于部分严格选择的hCCA病例,在保证患者安全的前提下,扩大根治术是hCCA患者获得R0切除的重要治疗方法,患者的生存状态好于姑息手术者,但需严格掌握适应证;对于hCCA患者,是否采取扩大根治术以及具体手术切除的范围需在术前全面评估和充分准备的前提下,以病变范围以及受累的脏器、组织和血管为基础实施个体化手术方案,不可盲目进行扩大根治术。At present,the application of extended radical surgery in hilar cholangiocarcinoma(hCCA)remained controversial.The author reviewed the relevant literatures published in recent years and combined with his own experience,preliminarily discussed the application value of extended radical surgery in hCCA,and believed that:for some strictly selected cases of hCCA,under the premise of ensuring patient safety,extended radical surgery was an important treatment method for hCCA patients to obtain R0 removal,and the survival status of patients was better than that of palliative surgery,but the indications need to be strictly mastered.For patients with hCCA,whether to adopt extended radical surgery and the specific scope of surgical resection should be based on the scope of lesions and the involved organs,tissues and blood vessels to implement an individualized surgical program on the premise of comprehensive evaluation and full preparation before surgery.Do not blindly carry out extended radical surgery.

关 键 词：肝门部胆管癌 扩大根治术 生存预后 

分 类 号：R735.7[医药卫生—肿瘤]