淋巴结清扫在胆道恶性肿瘤根治术的临床应用进展
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作者单位:

1.昆明医科大学第二附属医院 肝胆胰外科二病区,云南 昆明 650101;2.云南省肝胆胰疾病临床医学中心,云南 昆明 650101

作者简介:

熊世锋,昆明医科大学第二附属医院硕士研究生,主要从事肝胆胰外科疾病的微创诊治方面的研究。

基金项目:

云南省卫计委医学后备人才培养计划资助项目(H-201604);云南省科技厅科技计划基金资助项目[2018FE001-(232)]。


Progress in clinical application of lymph node dissection in radical surgery for biliary malignant tumors
Author:
Affiliation:

1.The Second Division of the Department of Hepatopancreatobiliary Surgery, the Second Affiliated Hospital of Kunming Medical University, Kunming 650101, China;2.Clinic Medical Center for Hepatopancreatobiliary Diseases of Yunnan Province, Kunming 650101, China

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    摘要:

    胆道恶性肿瘤具有较高的恶性程度,且临床症状不典型,大部分患者发现时已处于中晚期,导致总体预后较差,手术治疗仍然是目前最佳的一种治疗方式。胆道恶性肿瘤容易发生淋巴结及远处转移,从而导致患者失去手术机会以及预后不良。为了降低肿瘤转移及复发的可能,术中往往需要清扫淋巴结,但目前国内外相关指南对于胆道恶性肿瘤淋巴结清扫范围、数目意见尚未统一。因此,笔者结合目前国内外相关指南和文献资料对淋巴结清扫在胆道恶性肿瘤根治术的临床应用进展进行综述。

    Abstract:

    Malignant tumors of the bile duct have a high degree of malignancy and present atypical clinical symptoms, which results in the poor overall prognosis. Surgical treatment is still the best treatment modality at present. Biliary malignant tumors have a high potential for lymph node and distant metastasis, which may lead to the loss of opportunity of surgery to patients and the dismal prognosis. In order to reduce tumor recurrence, lymph node dissection is often needed in surgery. However, the scope and number of lymph node dissection for biliary malignant tumors have not been unified in relevant guidelines at home and abroad. Therefore, the authors address the clinical application progress of lymph node dissection in radical resection of biliary malignant tumors based on review of relevant guidelines and literature at home and abroad.

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熊世锋,邹浩.淋巴结清扫在胆道恶性肿瘤根治术的临床应用进展[J].中国普通外科杂志,2021,30(8):971-978.
DOI:10.7659/j. issn.1005-6947.2021.08.013

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  • 收稿日期:2020-06-12
  • 最后修改日期:2021-06-26
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  • 在线发布日期: 2021-09-02