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肝门部胆管癌近几年有发病率逐渐增高的趋势,由于肝门部解剖的特殊性、复杂性,以及肿瘤对肝门区的淋巴管、血管、神经周围间隙的侵犯特性,再加之肿瘤对放疗、化疗不敏感,因此预后较差。施行手术根治性切除是唯一能够提高患者长期生存率的治疗手段。近年来,肝门部胆管癌的根治性切除、根治性扩大切除术、毗邻肝门区大血管(门静脉和肝固有动脉)受累者行血管切除后重建、尾状叶切除术、肝移植术等技术的应用大大提高了肝门部胆管癌的R0切除(指完全切除肿瘤及转移的区域)的概率,从而延长了患者的术后存活时间。
Hilar cholangiocarcinoma in recent years, the incidence rate gradually increased, due to the specificity of the hepatic portal anatomy, complexity, and the tumor of the hilar region of the lymphatic vessels, blood vessels, nerve around the gap characteristics of violations, coupled with the tumor Radiotherapy, chemotherapy is not sensitive, so the prognosis is poor. Radical surgery is the only treatment that can improve long-term survival in patients. In recent years, the radical resection of hilar cholangiocarcinoma, radical expansion of the resection, adjacent to the hilar region of the major vessels (portal vein and hepatic artery) were involved in the reconstruction after vascular resection, caudate lobectomy, liver transplantation The use of technology greatly increases the probability of resection of the R0 hilar cholangiocarcinoma, which refers to complete excision of the tumor and metastatic region, thereby prolonging the postoperative survival time of the patient.