肝門部膽管癌的手術治療進展_《中國普外基礎與臨床雜志》

作者：

何振平

第三軍醫大學西南醫院肝膽外科中心(重慶400038);

關鍵詞：

肝門部膽管癌切除門靜脈栓塞肝葉或肝段

視頻：

導出 下載 收藏 掃碼 引用

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

目的提高肝門部膽管癌的治愈切除率。
方法收集近期有關肝門部膽管癌手術治療的文獻資料。
結果 ①早期診斷； ②了解肝門部膽管癌向肝側的浸潤情況； ③合理的切除治療； ④合并的血管切除； ⑤減少術后并發癥等是有效的措施。
結論提高肝門部膽管癌切除的遠期療效是可能的。

引用本文： 何振平. 肝門部膽管癌的手術治療進展. 中國普外基礎與臨床雜志, 2000, 7(2): 128-130. doi: 復制

1.	Hann LE, Greatrex KV, Bach AM, et al. Cholangiocarcinoma at the hepatic hilus: sonographic findings 〔Ｊ〕. AJR, 1997; 168(4)∶985.
2.	Hann LE, Fong Y, Shriver CD, et al. Malignant hepatic hilar tumor: can ultrasonography be used as an alternative to angiography with CT arterial portography for determination of resectability? 〔Ｊ〕 J Ultrasound Med, 1996; 15(1)∶37.
3.	Hall JK, Choi BI, Kim TK, et al. Hilar cholangiocarcinoma. Thinsection spiral CT findings with cholangiography correlation 〔Ｊ〕. Radiographics, 1997; 17(6)∶1475.
4.	Tillich M, Mischinger HJ, Preisegger KH, et al. Multiphasic helical CT in diagnosis and staging of hilar cholangiocarcinoma 〔Ｊ〕. AJR, 1998; 171(3)∶651.
5.	Kusano T, Shimabukuro M, Tamai O, et al. The use of intraoperative ultrasonography, for detecting tumor extension in bile duct carcinoma 〔Ｊ〕. Int Surg, 1997; 82(1)∶44.
6.	Satanapa P, Hargrove NS, Sirivatanauksorn Y, et al. The potential role of intraoperative ultrasonography in the surgical treatment of hilar cholangiocarcinoma 〔Ｊ〕. HPB Surg, 1996; 9(2)∶93.
7.	Satamato E, Nimura Y, Hayakawa, et al. The pattern of infiltration at the proximal horder of hilar bile duct carcinoma: a histologic analysis of 62 resected cases 〔Ｊ〕. Ann Surg, 1998; 227(3)∶405.
8.	鈴木英明. 肝門部近傍にぉけるグリソン系脈管群四相關と異常肝膽道外科の立場から〔Ｊ〕. 日外寶函， 1982； 51(5)∶731.
9.	Tashiro S, Tsuzi T, Kanemitsu K, et al. Prolongation of survival for carcinoma at the hepatic duct confluence 〔Ｊ〕. Surg, 1993; 113(2)∶270.
10.	Tsuzuki T, Ueda M, Kuramochi S, et al. Carcinoma of the main hepatic duct junction: indication operative morbidity and mortality, and long term survival 〔Ｊ〕. Surg, 1990; 108(3)∶495.
11.	Nagino M, Nimura Y, Kamiya J, et al. Segmental liver resection for hilar cholangiocarcinoma 〔Ｊ〕. HGE, 1998; 45(19)∶7.
12.	Bhuiya MM, Mimura Y, Kato M, et al. Resection of intrahepatic bile duct carcinoma with hilar bile duct and portal vein invasiona case report 〔Ｊ〕. HGE, 1990; 27(4)∶421.
13.	Miyazaki M, Ito H, Nakagawa, et al. Segment Ⅰ and Ⅳ resection as a new approach for hepatic hilar cholangiocarcinoma 〔Ｊ〕. Am J Surg, 1998; 175(3)∶229.
14.	Becrurts KT, Hscher AH, Baurer TH, et al. Malignant tumor of the hepatic bifurcationresults of surgical therapy and prognostic factors 〔Ｊ〕. Chirurg, 1997; 68(4)∶378.
15.	Nimura Y, Hayakawa N, Kamiya J, et al. Hepatic segmentectomy with caudate lobe resection for bile duct carcinoma of the hepatic hilus 〔Ｊ〕. World J Surg, 1990; 14∶535.
16.	Miyazaki M, Ito H, Nakagawa, et al. Aggressive surgical approaches to hilar cholangiocarcinoma, hepatic or local, resection 〔Ｊ〕. Surg, 1998; 127(2)∶131.
17.	Burke EC, Tarnagin WR, Hochwald SN, et al. Hilar cholangiocarcinoma, patterns of spread the importance of hepatic resection for curative operation, and a presargical clinical staging system 〔Ｊ〕. Ann Surg, 1998; 228(3)∶385.
18.	Ogura Y, Kawarada Y. Surgical Strategies for carcinoma of the hepatic duct confluence 〔Ｊ〕. Br J Surg, 1998; 85(1)∶20.
19.	吉川達也. 膽道癌と血管外科〔Ｊ〕. 手術， 1994；48∶31.
20.	草野敏臣，白石佑之，武藤良弘. 肝動脈合并切除損傷后の再建法，主として胃大綱動脈を用した再建手術， 1996； 50(10)∶1747.
21.	宮崎勝，伊藤博，中川宏治，他. 外科的見地ガらみた肝內側區域S4切除(S1+S4切除) 〔Ｊ〕. 膽と胰， 1998； 19(9)∶759.
22.	宮崎勝，伊藤博，海保隆ほか. 肝門部膽管癌血管合并切除術ぉとびQOL走考慮した尾狀葉全切除の意義と問題點〔Ｊ〕. 膽と胰， 1992； 13(8)∶123.
23.	Su CH, Tsay SH, Wu CC, et al. Factors influencing postoperative morbidity, mortality and survival after resection for hilar cholangiocarcinoma 〔Ｊ〕. Ann Surg, 1996; 223(4)∶384.
24.	klempnauer J, Ridder GJ, Von Vasielewski R, et al. Resectional surgery of hilar cholangiocarcinoma, a multivariation analysis of prognostic factors 〔Ｊ〕. J Clin Oncol, 1997; 15(2)∶947.
25.	Mizuno S, Nimura Y, Suzuki H, et al. Portal vein branch occlusion induces cell proliferation of cholestatic rat liver 〔Ｊ〕. J Surg Res, 1996; 60(1)∶249.
26.	Vogl TJ, Balzer JO, Dette K, et al. Initially unresectable hilar cholangiocarcinoma: hepatic regeneration after transarterial embolization 〔Ｊ〕. Radilogy, 1998; 208(1)∶217.
27.	Nimura Y, Vesaka K, Nagino M, et al. Changes in hepatic lober function after with portal vein embolization an appraisal by biliary indocyanine green exeretion 〔Ｊ〕. Ann Surg, 1996; 223(1)∶77.
28.	Baere T, Roche A, Elias D, et al. Preoperative portal vein embolization for extension of hepatectomy indication 〔Ｊ〕. Hepatology, 1996; 24(6)∶1386.
29.	Ellias D, Debaere T, Roche A, et al. Preoperative selective portal vein embolization are an effective means of extending the indications of major hepatectomy in the normal and injured liver 〔Ｊ〕. HGE, 1998; 45(19)∶170.
30.	Yamakado K, Takeda K, Matsumura K, et al. Regeneration of the unembolized liver parenchyma following portal. Vein embolization 〔Ｊ〕. J Hepatatol, 1997; 27(5)∶871.
31.	Harada H, Imamura H, Miyagawa, et al. Fate of the human liver after hemihepatic portal vein embolization: cell kinetic and morphometric study 〔Ｊ〕. Hepatology, 1997; 26(5)∶1162.

1. Hann LE, Greatrex KV, Bach AM, et al. Cholangiocarcinoma at the hepatic hilus: sonographic findings 〔Ｊ〕. AJR, 1997; 168(4)∶985.
2. Hann LE, Fong Y, Shriver CD, et al. Malignant hepatic hilar tumor: can ultrasonography be used as an alternative to angiography with CT arterial portography for determination of resectability? 〔Ｊ〕 J Ultrasound Med, 1996; 15(1)∶37.
3. Hall JK, Choi BI, Kim TK, et al. Hilar cholangiocarcinoma. Thinsection spiral CT findings with cholangiography correlation 〔Ｊ〕. Radiographics, 1997; 17(6)∶1475.
4. Tillich M, Mischinger HJ, Preisegger KH, et al. Multiphasic helical CT in diagnosis and staging of hilar cholangiocarcinoma 〔Ｊ〕. AJR, 1998; 171(3)∶651.
5. Kusano T, Shimabukuro M, Tamai O, et al. The use of intraoperative ultrasonography, for detecting tumor extension in bile duct carcinoma 〔Ｊ〕. Int Surg, 1997; 82(1)∶44.
6. Satanapa P, Hargrove NS, Sirivatanauksorn Y, et al. The potential role of intraoperative ultrasonography in the surgical treatment of hilar cholangiocarcinoma 〔Ｊ〕. HPB Surg, 1996; 9(2)∶93.
7. Satamato E, Nimura Y, Hayakawa, et al. The pattern of infiltration at the proximal horder of hilar bile duct carcinoma: a histologic analysis of 62 resected cases 〔Ｊ〕. Ann Surg, 1998; 227(3)∶405.
8. 鈴木英明. 肝門部近傍にぉけるグリソン系脈管群四相關と異常肝膽道外科の立場から〔Ｊ〕. 日外寶函， 1982； 51(5)∶731.
9. Tashiro S, Tsuzi T, Kanemitsu K, et al. Prolongation of survival for carcinoma at the hepatic duct confluence 〔Ｊ〕. Surg, 1993; 113(2)∶270.
10. Tsuzuki T, Ueda M, Kuramochi S, et al. Carcinoma of the main hepatic duct junction: indication operative morbidity and mortality, and long term survival 〔Ｊ〕. Surg, 1990; 108(3)∶495.
11. Nagino M, Nimura Y, Kamiya J, et al. Segmental liver resection for hilar cholangiocarcinoma 〔Ｊ〕. HGE, 1998; 45(19)∶7.
12. Bhuiya MM, Mimura Y, Kato M, et al. Resection of intrahepatic bile duct carcinoma with hilar bile duct and portal vein invasiona case report 〔Ｊ〕. HGE, 1990; 27(4)∶421.
13. Miyazaki M, Ito H, Nakagawa, et al. Segment Ⅰ and Ⅳ resection as a new approach for hepatic hilar cholangiocarcinoma 〔Ｊ〕. Am J Surg, 1998; 175(3)∶229.
14. Becrurts KT, Hscher AH, Baurer TH, et al. Malignant tumor of the hepatic bifurcationresults of surgical therapy and prognostic factors 〔Ｊ〕. Chirurg, 1997; 68(4)∶378.
15. Nimura Y, Hayakawa N, Kamiya J, et al. Hepatic segmentectomy with caudate lobe resection for bile duct carcinoma of the hepatic hilus 〔Ｊ〕. World J Surg, 1990; 14∶535.
16. Miyazaki M, Ito H, Nakagawa, et al. Aggressive surgical approaches to hilar cholangiocarcinoma, hepatic or local, resection 〔Ｊ〕. Surg, 1998; 127(2)∶131.
17. Burke EC, Tarnagin WR, Hochwald SN, et al. Hilar cholangiocarcinoma, patterns of spread the importance of hepatic resection for curative operation, and a presargical clinical staging system 〔Ｊ〕. Ann Surg, 1998; 228(3)∶385.
18. Ogura Y, Kawarada Y. Surgical Strategies for carcinoma of the hepatic duct confluence 〔Ｊ〕. Br J Surg, 1998; 85(1)∶20.
19. 吉川達也. 膽道癌と血管外科〔Ｊ〕. 手術， 1994；48∶31.
20. 草野敏臣，白石佑之，武藤良弘. 肝動脈合并切除損傷后の再建法，主として胃大綱動脈を用した再建手術， 1996； 50(10)∶1747.
21. 宮崎勝，伊藤博，中川宏治，他. 外科的見地ガらみた肝內側區域S4切除(S1+S4切除) 〔Ｊ〕. 膽と胰， 1998； 19(9)∶759.
22. 宮崎勝，伊藤博，海保隆ほか. 肝門部膽管癌血管合并切除術ぉとびQOL走考慮した尾狀葉全切除の意義と問題點〔Ｊ〕. 膽と胰， 1992； 13(8)∶123.
23. Su CH, Tsay SH, Wu CC, et al. Factors influencing postoperative morbidity, mortality and survival after resection for hilar cholangiocarcinoma 〔Ｊ〕. Ann Surg, 1996; 223(4)∶384.
24. klempnauer J, Ridder GJ, Von Vasielewski R, et al. Resectional surgery of hilar cholangiocarcinoma, a multivariation analysis of prognostic factors 〔Ｊ〕. J Clin Oncol, 1997; 15(2)∶947.
25. Mizuno S, Nimura Y, Suzuki H, et al. Portal vein branch occlusion induces cell proliferation of cholestatic rat liver 〔Ｊ〕. J Surg Res, 1996; 60(1)∶249.
26. Vogl TJ, Balzer JO, Dette K, et al. Initially unresectable hilar cholangiocarcinoma: hepatic regeneration after transarterial embolization 〔Ｊ〕. Radilogy, 1998; 208(1)∶217.
27. Nimura Y, Vesaka K, Nagino M, et al. Changes in hepatic lober function after with portal vein embolization an appraisal by biliary indocyanine green exeretion 〔Ｊ〕. Ann Surg, 1996; 223(1)∶77.
28. Baere T, Roche A, Elias D, et al. Preoperative portal vein embolization for extension of hepatectomy indication 〔Ｊ〕. Hepatology, 1996; 24(6)∶1386.
29. Ellias D, Debaere T, Roche A, et al. Preoperative selective portal vein embolization are an effective means of extending the indications of major hepatectomy in the normal and injured liver 〔Ｊ〕. HGE, 1998; 45(19)∶170.
30. Yamakado K, Takeda K, Matsumura K, et al. Regeneration of the unembolized liver parenchyma following portal. Vein embolization 〔Ｊ〕. J Hepatatol, 1997; 27(5)∶871.
31. Harada H, Imamura H, Miyagawa, et al. Fate of the human liver after hemihepatic portal vein embolization: cell kinetic and morphometric study 〔Ｊ〕. Hepatology, 1997; 26(5)∶1162.

《中國普外基礎與臨床雜志》

肝門部膽管癌的手術治療進展

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

《中國普外基礎與臨床雜志》

肝門部膽管癌的手術治療進展

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

摘要全文圖表視頻參考文獻施引文獻補充材料