Lygidakis N J, Van der Heyde M N, Verbeek P C, Van Leeuwen D J
Department of Surgery, University of Amsterdam, The Netherlands.
Semin Liver Dis. 1990 May;10(2):126-30. doi: 10.1055/s-2008-1040465.
Surgical management of primary hilar cholangio-carcinoma remains challenging and controversial. Our policy in dealing with the disease includes local resection of the tumor with the bifurcation of the common hepatic duct, or combined tumor and liver resection with or without resection of the regional vascular structures. The various technical options regarding these alternatives have been described in detail in this article.
原发性肝门部胆管癌的外科治疗仍然具有挑战性且存在争议。我们处理该疾病的策略包括对肿瘤连同肝总管分叉部进行局部切除,或对肿瘤与肝脏进行联合切除,同时可选择切除或不切除区域血管结构。本文已详细描述了这些替代方案的各种技术选择。