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岭南现代临床外科 ›› 2021, Vol. 21 ›› Issue (04): 377-382.DOI: 10.3969/j.issn.1009-976X.2021.04.001

• 专家笔谈 •    下一篇

肝内胆管癌淋巴结清扫的热点与争议

林志文, 刘红枝, 曾永毅*   

  1. 福建医科大学孟超肝胆医院,福州350025
  • 通讯作者: *曾永毅,Email:lamp197311@126.com
  • 作者简介:曾永毅,医学博士、主任医师、教授、博士生导师, 福建医科大学孟超肝胆医院副院长(主持工作)。中华医学会外科学分会青年委员、中华医学会外科学分会胆道学组委员、国际外科、胃肠及肿瘤科医师协会(IASGO)会员、福建省肝病学分会常务委员兼秘书、福建省肝病学分会肝癌学组副组长。《World Journal of Gastroenterology》编委、合作主持国家自然科学基金2项,个人主持省部级课题9项,第一作者和通讯作者在中华医学会系列杂志发表论著30余篇,SCI收录25篇,最高影响因子14.588,授权国家发明专利7项。获2020年福建医学科技奖二等奖(第一完成人),2018年福建省科学技术进步奖一等奖(第四完成人),2016年福建省第十二届自然科学优秀学术论文一等奖(第一完成人)。

The controversies and hotspots of lymph node dissection for intrahepatic cholangiocarcinoma

LIN Zhi-wen, LIU Hong-zhi, ZENG Yong-yi   

  1. Mengchao Hepatobiliary Hospital of Fujian Medical University, Fuzhou 350025, China
  • Online:2021-08-20 Published:2021-12-09
  • Contact: ZENG Yong-yi, lamp197311@126.com

摘要: 肝内胆管癌是一种高度侵袭性的恶性肿瘤,近年来发病率逐年升高,根治性手术切除被认为是可能治愈的唯一方法。淋巴结转移是手术预后的高危因素,在肝内胆管癌根治性切除术中,淋巴结清扫问题仍存在很多争议,其中淋巴结清扫与否,淋巴结清扫的方式和范围,以及清扫的意义和价值更是当下研究的热点。本文就肝内胆管癌淋巴结清扫的热点与争议进行了讨论。

关键词: 肝内胆管癌, 淋巴结转移, 淋巴结清扫, 诊断, 治疗

Abstract: Intrahepatic cholangiocarcinoma is a highly invasive malignant tumor. In recent years, the incidence has been increasing every year, and radical resection is considered as the only effective way to cure ICC. Lymph node metastasis is an important prognostic risk factor for ICC. In the radical resection of intrahepatic cholangiocarcinoma, the issue of lymph node dissection remains controversial, in which whether lymph node dissection, the way and extent of lymph node dissection, as well as the significance and value of lymph node dissection are the focus of the current research. In this paper, the hotspots and controversies of lymph node dissection for intrahepatic cholangiocarcinoma were discussed.

Key words: intrahepatic cholangiocarcinoma, lymph node metastasis, lymph node dissection, diagnosis, treatment

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