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评估肝门周围胆管癌位置、数量或受累淋巴结比例的淋巴结状态。

Assessment of nodal status for perihilar cholangiocarcinoma location, number, or ratio of involved nodes.

机构信息

Division of Surgery A, Department of Surgery, University of Verona, GB Rossi Hospital, Italy.

出版信息

Hepatobiliary Surg Nutr. 2013 Oct;2(5):281-3. doi: 10.3978/j.issn.2304-3881.2013.08.10.

DOI:10.3978/j.issn.2304-3881.2013.08.10
PMID:24570959
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3924695/
Abstract

Surgical treatment of perihilar cholangiocarcinoma (PCC) is the treatment of choice that can achieve long term results. Unfortunately the presence of lymph node metastases is frequent and it is one of the major negative prognostic factors in patients submitted to surgery. In literature there are few data about the prognostic significance of location, number and ratio of involved nodes. Moreover guidelines about the extent of lymph node dissection are not available. In this commentary the data of literature about prognostic significance of lymph node involvement are described and analysed.

摘要

肝门部胆管癌(PCC)的外科治疗是首选治疗方法,可以获得长期效果。不幸的是,淋巴结转移的存在很常见,并且是手术患者的主要预后不良因素之一。文献中关于淋巴结受累位置、数量和比率的预后意义的数据很少。此外,关于淋巴结清扫范围的指南尚不可用。在这篇评论中,描述和分析了文献中关于淋巴结受累的预后意义的数据。

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本文引用的文献

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J Gastrointest Surg. 2013 Nov;17(11):1917-28. doi: 10.1007/s11605-013-2331-1. Epub 2013 Sep 19.
2
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Ann Surg. 2013 Apr;257(4):718-25. doi: 10.1097/SLA.0b013e3182822277.
3
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HPB (Oxford). 2011 Apr;13(4):240-5. doi: 10.1111/j.1477-2574.2010.00277.x. Epub 2011 Jan 28.
4
Prognostic relevance of the lymph node ratio in surgical patients with extrahepatic cholangiocarcinoma.淋巴结比率在肝外胆管癌手术患者中的预后相关性。
Eur J Surg Oncol. 2011 Jan;37(1):60-4. doi: 10.1016/j.ejso.2010.10.011. Epub 2010 Nov 20.
5
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Br J Surg. 2009 Aug;96(8):919-25. doi: 10.1002/bjs.6654.
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World J Surg. 2009 Jun;33(6):1247-54. doi: 10.1007/s00268-009-9970-0.
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