Cholangiocarcinoma

IF 2.1 3区 医学 Q2 SURGERY Surgical Clinics of North America Pub Date : 2024-05-10 DOI:10.1016/j.suc.2024.04.003
Jon M. Harrison MD , Brendan C. Visser MD
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胆管癌
肝内胆管癌的治疗有赖于对肿瘤位置和临近重要血管胆管结构的透彻了解。根据术中冰冻切片的情况,中段胆管肿瘤可能需要进行半肝切除术或胰十二指肠切除术。远端胆总管肿瘤则采用胰十二指肠切除术。在适当的情况下,应对残余肝脏的体积进行评估,以确定需要采取术前肝脏增大策略的病例。对于肝周肿瘤也应采取类似的策略,需要进行右侧三段切除术并重建胆肠,以达到阴性边缘。建议采用辅助性全身治疗,对于边缘可切除或区域性晚期病例,越来越多地采用新辅助治疗。
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来源期刊
CiteScore
5.90
自引率
0.00%
发文量
129
审稿时长
6-12 weeks
期刊介绍: Surgical Clinics of North America has kept surgeons informed on the latest techniques from leading surgical centers worldwide. Each bimonthly issue (February, April, June, August, October, and December) is devoted to a single topic relevant to the busy surgeon, with articles written by experts in the field. Case studies and complete references are also included to give you the most thorough data you need to stay on top of your practice. Topics include general surgery, alimentary surgery, abdominal surgery, critical care surgery, trauma surgery, endocrine surgery, breast cancer surgery, transplantation, pediatric surgery, and vascular surgery.
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Contents Gastric Surgery Copyright Contributors Forthcoming Issues
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