肝门部胆管癌外科治疗进展和争议

Chinese Journal of Hepatic Surgery (Electronic Edition)(2021)

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Abstract
胆管癌(cholangiocarcinoma,CCA)是起源于胆管上皮细胞相对少见的恶性肿瘤,仅占胃肠道恶性肿瘤的3%[1],根据其解剖位置,将CCA分为肝内胆管癌(intrahepatic cholangiocarcinoma, iCCA)、肝门部胆管癌(perihilar cholangiocarcinoma, pCCA)和远端胆管癌(distal cholangiocarcinoma, dCCA),其中pCCA是最常见的类型,占胆道肿瘤的60%~70%.大多数无外科手术机会的进展期pCCA患者预后极差,中位生存期不足12个月 [2].
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