Schöning Wenzel, Haber Philipp K, Pratschke Johann
Chirurgische Klinik, Campus Charité Mitte | Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Deutschland.
Chirurgie (Heidelb). 2025 Jan;96(1):77-86. doi: 10.1007/s00104-024-02200-z. Epub 2024 Dec 10.
The term cholangiocarcinoma (CCA) includes a group of malignant tumors that develop in the efferent bile ducts and are characterized by a high degree of heterogeneity. These differences between intrahepatic, perihilar and distal CCAs run through all aspects of the disease including the etiology, pathogenesis, symptoms, diagnostics and treatment. This review article presents the current developments in this field of diseases. We highlight surgical innovations in the clinical routine and the application of new systemic forms of treatment to augment the oncological radicality of surgery.
胆管癌(CCA)这一术语包括一组发生于肝外胆管的恶性肿瘤,其特点是高度异质性。肝内、肝门周围和远端胆管癌之间的这些差异贯穿于疾病的各个方面,包括病因、发病机制、症状、诊断和治疗。这篇综述文章介绍了该疾病领域的当前进展。我们重点介绍了临床常规中的手术创新以及新的全身治疗形式的应用,以增强手术的肿瘤根治性。