肝门部胆管癌诊治进展

肝门部胆管癌在肝外胆管癌中发病率达58％-75％，手术根治切除率低，预后差。通过阅读国内外近期相关文献，对肝门部胆管癌的诊断及治疗进展进行综述。早期诊断依然有赖于影像学检查，结合肿瘤标志物检查可提高确诊率。手术方式选择所依据的分期及分型方式目前国内外常用的仍为Bismuth-Corlette分型。根治性切除及扩大根治性切除能明显改善患者预后，对于不能手术切除者应积极行胆道引流术，鉴于肝门部胆管癌生物学特性应重视综合治疗。

Progress of Diagnosis and Treatment of Hilar Cholangiocarcinoma

Hilar cholangiocarcinoma （HCC） in extrahepatic cholangiocarcinoma incidence rate was 58%-75% ,with the low rate of radical resection and poor prognosis. The progress of HCC in diagnosis and treatment were reviewed by reading the recent literature. Early diagnosis was still dependent on the imaging examinations, combined with tumor marker examination can improve the diagnostic rate. Choice of surgical approach was based on the phases and sub-type methods, commonly used was still the Bismuth-Corlette classification. The expansion of radical resection and radical resection can improve the prognosis of patients, biliary drainage should be taken positively for those can not be resectod. Comprehensive treatment should be taken into account in view of the biological characteristics of HCC.