肝门部胆管癌的精准外科治疗策略

Precise surgical strategy for the treatment of hilar cholangiocarcinoma

摘要: 根治性切除比其他治疗方法更能使肝门部胆管癌患者获得长期生存。近年来，由于外科技术的进步以及围手术期处理的完善使得手术治疗肝门胆管癌的效果有了明显的提高。本文总结了精确的术前评估、精良的术前处理、精密的手术规划为核心的精准外科治疗策略对肝门部胆管癌的手术治疗的影响。肝门部胆管癌的术前分型、术前处理、手术方案精细化和标准化，可进一步提高肝门部胆管癌的手术治疗效果。

Abstract:
Curative resection can offer a better chance for longterm survival than any other therapeutic modalities for hilar cholangiocarcinoma. This review highlights recent improvements in hilar cholangiocarcinoma management, with special attention to the new staging system for hilar cholangiocarcinoma, the perioperative management and the accurate dissection approachto achieve more adequate tumorfree resection margin. Overall, the precise surgical strategy and appropriate surgical techniques may provide an increased chance to cure patients with hilar cholangiocarcinoma.