胆道肿瘤手术规范的研究进展  

Research progress in surgical standards for biliary tract cancer

作　　者：刘颖斌 颜伟康 Liu Yingbin;Yan Weikang(Department of Biliary-Pancreatic Surgery,Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai Key Laboratory of Systems Regulation and Clinical Translation for Cancer,State Key Laboratory of Systems Medicine for Cancer,Shanghai 200127,China)

机构地区：[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

出　　处：《中华肝胆外科杂志》2024年第6期401-406,共6页Chinese Journal of Hepatobiliary Surgery

基　　金：国家自然科学基金重点项目(32130036);申康发展中心/新兴前沿技术联合攻关项目(HDC12021101)。

摘　　要：胆道肿瘤的手术具有难度大、并发症多、预后差的特点,建立手术规范对于提高医疗质量、延长患者生存时间以及改善预后至关重要。胆道肿瘤手术规范由术前评估处理和手术方式组成。在术前评估处理方面,术前减黄和肝叶增生技术仍有争议。在手术方式方面,肝脏切除的合理范围、胆管切缘的处理、血管侵犯时是否应该切除重建和淋巴结的清扫范围是需要关注的重点问题。了解这些争议和重点问题的研究进展,能够为制定更合理的手术规范提供帮助。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.

关 键 词：胆道肿瘤 可切除评估 术前胆道引流 肝叶增生技术 

分 类 号：R735[医药卫生—肿瘤]