中国普通外科杂志2026，Vol.35Issue(2)：201-222,22.DOI:10.7659/j.issn.1005-6947.250652
《肝门部胆管癌:米兰专家共识》解读
Interpretation of recommendations on perihilar cholangiocarcinoma.the Milan jury-based consensus
摘要
Abstract
The recommendations on perihilar cholangiocarcinoma.the Milan jury-based consensus,published in June 2025,was developed by 71 international experts organized into eight working groups.Based on the review of 570 studies,the consensus was formulated using the Zurich-Danish model in combination with the GRADE methodology and the Oxford Centre for Evidence-Based Medicine 2011 Levels of Evidence.A total of 71 recommendations were established to standardize the diagnosis and management of perihilar cholangiocarcinoma(pCCA)and to identify priorities for future research.The consensus comprehensively addresses key aspects of pCCA management,including definition and diagnostic strategies,preoperative assessment and optimization,surgical resection,liver transplantation,and standardized outcome reporting.Particular emphasis is placed on controversial issues in surgical management and decision-making algorithms.In this article,we systematically interpret the core recommendations of the consensus and compare them with existing domestic and international guidelines,integrating relevant clinical experience,in order to facilitate their understanding and implementation in clinical practice.关键词
Klatskin肿瘤/共识/切缘/引流术/肝移植Key words
Klatskin Tumor/Consensus/Margins of Excision/Drainage/Liver Transplantation分类
医药卫生引用本文复制引用
雷建军,李起,刘恒超,关依辰,张东,陈晨,耿智敏..《肝门部胆管癌:米兰专家共识》解读[J].中国普通外科杂志,2026,35(2):201-222,22.基金项目
国家自然科学基金资助项目(62076194) （62076194）
陕西省重点研发计划基金资助项目(2025SF-YBXM-385,2022SF-410,2022SF-606). （2025SF-YBXM-385,2022SF-410,2022SF-606）
