临床肝胆病杂志2017,Vol.33Issue(7):1397-1399,3.DOI:10.3969/j.issn.1001-5256.2017.07.043
肝胰十二指肠切除术在中晚期胆囊癌治疗中的应用
Clinical application of hepatopancreatoduodenectomy in treatment of advanced gallbladder cancer
张海文 1王蒙 1王传磊 1解恩博 1王广义1
作者信息
- 1. 吉林大学第一医院 肝胆胰外一科,长春 130021
- 折叠
摘要
Abstract
Gallbladder cancer has many characteristics such as rapid progression, difficult early diagnosis, low R0 resection rate, and poor prognosis.In recent years, extended radical resections including hepatopancreatoduodenectomy (HPD) have been performed for patients with advanced gallbladder carcinoma that invades the common bile duct, duodenum, and portal vein, but with no distant metastasis in many large medical centers.This procedure can significantly increase the R0 resection rate and prolong the survival time of patients.But due to the high rate of complications and high mortality in the patients treated with HPD, many surgeons still have little confidence in this procedure.This article reviews the current application of HPD in advanced gallbladder cancer, related problems, complications, and surgical indications, and suggests that HPD can be selected according to strict surgical indications.关键词
胆囊肿瘤/肝胰十二指肠切除术/治疗结果/综述Key words
gallbladder neoplasms/hepatopancreatoduodenectomy/treatment outcome/review分类
医药卫生引用本文复制引用
张海文,王蒙,王传磊,解恩博,王广义..肝胰十二指肠切除术在中晚期胆囊癌治疗中的应用[J].临床肝胆病杂志,2017,33(7):1397-1399,3.