Cholangiocellular carcinoma--the role of caudate lobe resection and mesohepatectomy.
作者： Massimo Malago , Andrea Frilling , Jun Li , Hauke Lang , Christoph E. Broelsch
DOI: 10.1080/13651820801992500
关键词:
摘要: Background. The surgical treatment of perihilar cholangiocellular carcinoma (CCC) is challenging due to the adjacency tumor hilar vessels, major hepatic veins, bile ducts, and inferior vena cava. Additionally, tumour frequently infiltrates parenchyma caudate lobe or/and invades its ducts. Consensus statements. Negative margin hepatectomy rarely feasible. Isolated partial or complete resection an oncologically inadequate procedure. Extended hepatectomies in combination with lobectomy can provide prolonged survival, even patients advanced CCC. Mesohepatectomy adequate procedure for selected CCC compromised liver function. technically demanding; however, it lowers risk postoperative failure.
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