肝门部胆管癌的手术治疗

• 作 者: 许戈良
• 机 构: 安徽医科大学附属省立医院肝脏外科、安徽省立医院肝癌研究中心
• 出 处: 中华消化外科杂志
• 发表日期: 2004年期
• 关键词: 胆管肿瘤 肝门 外科手术 治疗 Cholangiocarcinoma hilar Surgical procedures operative Therapy

Despite recent advances in preoperative diagnostic imaging and operative techniques for hilar cholangio-carcinoma, postoperative mid-or long-term survival has not improved. Moreover, it remains difficult to achieve curative resection with a negative resection margin for complicated hilar cholangiocarcinoma of Bismuth type ⅢorⅣ. Although it is questionable whether hepatic artery resection can improve the prognosis, combined vascular resection of the portal vein and hepatic artery for treatment of the tumor extending along the bile duct may be one of the key factors to achieve a negative resection margin. Further investigation is required to determine whether radical resection of the remaining liver parenchyma and limiting the amount of resection as much as possible, as well as the no-touch isolation technique, can improve the prognosis of patients.