肝门部胆管癌淋巴结转移和神经丛浸润特点及清扫要点

张立鑫; 朱建交; 杨刚; 李敬东

doi:10.3969/j.issn.1001-5256.2023.09.004

肝门部胆管癌淋巴结转移和神经丛浸润特点及清扫要点

DOI: 10.3969/j.issn.1001-5256.2023.09.004

川北医学院附属医院肝胆外一科，川北医学院肝胆胰肠疾病研究所，四川南充 637000

基金项目:

中国医学基金会 (2022HX011);

四川省卫生健康委员会科技项目（临床研究专项）重点领域疾病诊疗方案 (23LCYJ033);

川北医学院附属医院科研发展计划项目 (2021YS004)

利益冲突声明：本文不存在任何利益冲突。

作者贡献声明：李敬东负责课题设计；张立鑫、朱建交、李敬东负责资料分析，撰写论文；杨刚、李敬东负责修改论文；李敬东负责拟定写作思路，指导撰写文章并最后定稿。

详细信息

通信作者:
李敬东， lijngdong358@126.com （ORCID： 0000－0002－1923－1787）

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出版历程
- 收稿日期: 2023-07-05
- 录用日期: 2023-08-08
- 出版日期: 2023-09-19

Features of lymph node metastasis and nerve plexus invasion in hilar cholangiocarcinoma and key points for dissection

First Department of Hepatobiliary Surgery，Affiliated Hospital of North Sichuan Medical College；Institute of Hepatobiliary－Pancreatic－Intestinal Diseases，North Sichuan Medical College，Nanchong，Sichuan 637000，China

Research funding:

China Medical Foundation (2022HX011);

Sichuan Provincial Health Commission Science and Technology Project （Clinical Research Special） Key Areas of Disease Diagnosis and Treatment Program (23LCYJ033);

Research and Development Project of Affiliated Hospital of North Sichuan Medical College (2021YS004)

More Information

Corresponding author: LI Jingdong， lijngdong358@126.com （ORCID： 0000－0002－1923－1787）

摘要

摘要: 肝门部胆管癌是胆道中最常见的恶性肿瘤，根治性手术是患者可能获得长期生存的唯一手段。本文简述了肝门部胆管癌发生淋巴结转移、神经丛侵犯的特点，回顾了国内外目前对淋巴结清扫、神经丛廓清的观点。分析表明，国内外观点普遍认可区域淋巴结清扫、神经丛廓清，但对淋巴结的扩大清扫尚存争议。
- Klatskin肿瘤 /
- 淋巴转移 /
- 肿瘤浸润
Abstract: Hilar cholangiocarcinoma is the most common malignant tumor of the biliary tract， and radical surgery is still the only possible means for patients to obtain long－term survival. This article briefly describes the features of lymph node metastasis and nerve plexus invasion in hilar cholangiocarcinoma and reviews the current viewpoints on lymph node dissection and nerve plexus dissection in China and globally. It is shown that the regional lymph node dissection and nerve plexus dissection are generally accepted in China and globally， but there are still controversies over extended lymph node dissection.
- ‍Klatskin Tumor /
- Lymphatic Metastasis /
- Neoplasm Invasiveness

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参考文献(26)

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