肝门部胆管癌的外科治疗现状和展望  

Current situation and prospect of surgical treatment of perihilar cholangiocarcinoma

作　　者：胡议予 汪思宇 朱哲宇 梁荣 汪伟民[2] 苗春木[2] 丁雄[2] 王运兵[2] HU Yi-yu;WANG Si-yu;ZHU Zhe-yu;LIANG Rong;WANG Wei-min;MIAO Chun-mu;DING Xiong;WANG Yun-bing(Second Clinical College,Chongqing Medical University,Chongqing 400010,China;Department of Hepatobiliary Surgery,Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China)

机构地区：[1]重庆医科大学第二临床学院,重庆400010 [2]重庆医科大学附属第二医院肝胆外科,重庆400010

出　　处：《局解手术学杂志》2024年第11期959-962,共4页Journal of Regional Anatomy and Operative Surgery

基　　金：重庆市自然科学基金面上项目(cstc2021jcyj-msxm X0294);重庆市自然科学基金博士后项目(cstc2020jcyj-bshX0033);重庆市科卫联合项目(2021MSXM139)。

摘　　要：肝门部胆管癌(PHC)是一种常见的胆道恶性肿瘤,外科手术是其最有效的治疗方式,但手术切除后其预后效果不理想。近年来,PHC的外科治疗有了一些新的进展,本文对现有文献进行了回顾,综述了术前减黄、肝增生技术、肝切除术、肝移植术和微创手术等治疗方式在PHC中的治疗现状,并对其未来的研究方向进行了展望。Perihilar cholangiocarcinoma(PHC)is a common malignancy of biliary tract,for which surgery is the most effective treatment.However,its prognosis is not satisfactory even after surgical resection.In recent years,there have been some new advances in the surgical treatment of PHC.In this paper,we reviewed the existing literatures,demonstrated the current situation of preoperative biliary drainage,liver hyperplasia,hepatic resection,liver transplantation and minimally invasive surgery in the treatment of PHC,and prospected the future research direction.

关 键 词：肝门部胆管癌 术前减黄 肝切除术 肝移植术 现状 展望 

分 类 号：R735.8[医药卫生—肿瘤]