外科理论与实践 ›› 2022, Vol. 27 ›› Issue (05): 478-482.doi: 10.16139/j.1007-9610.2022.05.019

• 综述 • 上一篇    

肝内胆管癌的分型和外科治疗热点

张吉祥1, 谢智华1, 综述, 李炜1,2, 姜小清1(), 审校   

  1. 1. 海军军医大学第三附属医院 上海东方肝胆外科医院胆道一科,上海 200438
    2. 上海中医药大学附属普陀医院普外科,上海 200062
  • 收稿日期:2021-06-07 出版日期:2022-09-25 发布日期:2022-11-10
  • 通讯作者: 姜小清 E-mail:jxq1225@sina.com
  • 基金资助:
    国家自然科学基金(81972256);上海市医学重点专科建设项目(ZK2019B18);上海市普陀区临床特色专病建设项目(2020tszb03)

Classification of intrahepatic cholangiocarcinoma and hot topics in surgical treatment

ZHANG Jixiang1, XIE Zhihua1, LI Wei, JIANG Xiaoqing1,2   

  1. 1. Department of Biliary Tract Surgery, Third Affiliated Hospital of Naval Medical University, Shanghai Eastern Hepatobiliary Surgery Hospital, Shanghai 200438, China
    2. Department of General Surgery, Putuo Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200062, China
  • Received:2021-06-07 Online:2022-09-25 Published:2022-11-10

摘要:

肝内胆管癌(intrahepatic cholangiocarcinoma,ICC)的分型包括形态学、病理、临床以及分子分型。目前,手术切除仍是ICC首选的治疗方式。ICC外科治疗热点涉及肝切除方式和切缘距离、淋巴结清扫、腹腔镜手术、肝移植、复发后的再手术,以及新辅助治疗和转化治疗。本文就ICC分型和外科治疗热点进行综述。

关键词: 肝内胆管癌, 外科治疗, 新辅助治疗, 转化治疗

Abstract:

The classification of intrahepatic cholangiocarcinoma (ICC) is based on macroscopic pattern, pathological features, clinical manifestation and molecular type. Surgical resection is still the preferred treatment for ICC. Hot topics in surgical treatment include hepatic resection procedure, distance of resection margin, lymph node dissection, laparoscopic operation, liver transplantation, reoperation after recurrence, neoadjuvant therapy and conversion therapy. The classification of ICC and hot topics in surgical treatment were focused in this review.

Key words: Intrahepatic cholangiocarcinoma, Surgical treatment, Neoadjuvant therapy, Conversion therapy

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