Nimura Y, Kamiya J, Nagino M, Kanai M, Uesaka K, Kondo S, Hayakawa N
The First Department of Surgery, Nagoya University School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466, Japan.
J Hepatobiliary Pancreat Surg. 1998;5(1):52-61. doi: 10.1007/pl00009951.
Recent progress in surgical techniques for and the perioperative management of hilar cholangiocarcinoma has led to improved outcomes for aggressive liver and bile duct resections, which, however, still show considerable morbidity and mortality. In this article, the results of pioneers' attempts in hepatobiliary surgery for difficult hilar cholangiocarcinomas are reviewed. It is recommended that curative hepatobiliary resection should be performed for hilar cholangiocarcinoma, with careful preoperative management of patients complicated with several difficult conditions.
肝门部胆管癌手术技术及围手术期管理方面的最新进展已使侵袭性肝和胆管切除术的效果得到改善，然而，这些手术仍有相当高的发病率和死亡率。本文回顾了先驱者在肝门部胆管癌肝胆外科手术方面的尝试结果。建议对肝门部胆管癌患者进行根治性肝胆切除术，并对合并多种复杂情况的患者进行仔细的术前管理。
