中国普通外科杂志2025，Vol.34Issue(2)：253-259,7.DOI:10.7659/j.issn.1005-6947.250002
侵犯肝中静脉的肝内胆管癌转化治疗的难点与策略
The challenges and strategies of conversion therapy for intrahepatic cholangiocarcinoma with middle hepatic vein invasion
摘要
Abstract
Intrahepatic cholangiocarcinoma(ICC)is a malignancy with an insidious onset and extremely high mortality,often resulting in the inability to perform radical surgery due to vascular invasion and metastasis.The middle hepatic vein(MHV),located adjacent to the left and right hepatic veins and the second hepatic hilum,is an essential component of the hepatic vascular system.Patients with ICC involving the MHV face significant treatment challenges,and there is considerable debate regarding the optimal treatment decisions.Conversion therapy has provided new hope for patients with initially unresectable ICC,particularly for those with MHV invasion,who have an urgent need for such treatment.This article combines relevant research findings and clinical experience of the authors'team to discuss several challenges in conversion therapy for ICC with MHV invasion,aiming to provide reference for the clinical management of these patients.关键词
胆管肿瘤/胆管,肝内/肿瘤浸润/肝中静脉/转化治疗Key words
Bile Duct Neoplasms/Bile Ducts,Intrahepatic/Neoplasm Invasiveness/Middle Hepatic Vein/Conversion Therapy分类
临床医学引用本文复制引用
胡佳炜,李江涛..侵犯肝中静脉的肝内胆管癌转化治疗的难点与策略[J].中国普通外科杂志,2025,34(2):253-259,7.基金项目
浙江省科技厅科技计划基金资助项目(2024C03172). （2024C03172）
