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胆管癌较少见。据国外资料报道,肝外胆管癌在尸检病例中仅占0.012%～0.458%。国内38所医学院校病理科对1979尸检病例的恶性肿瘤进行统计分析,仅占0.07%。胆管癌,尤其是肝门部胆管癌,由于梗阻部位高,梗阻程度重,加之其解剖部位特殊,手术切除率低,其预后极为恶劣。1973年Longmire等首先报告肝外胆管癌施行右半肝并门静脉主干切除。以后不少学者又在第一肝门的解剖、肝脏血液的再灌注及肿瘤生物学特性方面做了大量的实验和临床研究,从而提高了胆管癌的根治性切除率和术后生存期,改善了生活质量。
Cholangiocarcinoma is less common. According to foreign data, extrahepatic cholangiocarcinoma accounts for only 0.012% to 0.458% of autopsy cases. The pathological department of 38 medical schools in China analyzed the malignant tumors of 1979 autopsy cases, accounting for only 0.07%. The cholangiocarcinoma, especially the hilar cholangiocarcinoma, has a poor prognosis due to its high obstruction site and heavy obstruction, combined with its special anatomic site and low surgical resection rate. In 1973, Longmire et al. first reported extrahepatic cholangiocarcinoma for right hemihepatic and portal vein resection. Later, many scholars have done a lot of experiments and clinical studies on the anatomy of the first porta hepatica, hepatic blood reperfusion, and biological characteristics of tumors, thereby improving the radical resection rate and postoperative survival period of cholangiocarcinoma. Quality of life.