CAJ | 학술논문

医学及相关领域学科的持续发展推动着传统外科向以精确决策和精准操作为特征的精准外科转化.最大化清除病灶、最小创伤侵袭和最大程度脏器保护是精准外科的追求目标.由于特殊的解剖学位置和生物学特性,肝门部胆管癌的治疗极具挑战性.为了达到精准外科的要求,术前需对肝门部解剖结构、肿瘤的生物学特征以及肝脏功能储备情况等予以充分了解,同时对于术前预处理、肝切除技术和血管、胆管重建技术应予充分掌握.
의학급상관영역학과적지속발전추동착전통외과향이정학결책화정준조작위특정적정준외과전화.최대화청제병조、최소창상침습화최대정도장기보호시정준외과적추구목표.유우특수적해부학위치화생물학특성,간문부담관암적치료겁구도전성.위료체도정준외과적요구,술전수대간문부해부결구、종류적생물학특정이급간장공능저비정황등여이충분료해,동시대우술전예처리、간절제기술화혈관、담관중건기술응여충분장악.
Continuous progress of medicine and related areas are initiating and motivating a paradigm transformation of traditional surgery to precise surgery,which is characterized by precision in decision making and surgical intervention.The strategy of precise surgery is to seek a balance of maximized lesion removal,maximized organ sparing and minimal surgical invasiveness.Due to the special location and biological characteristics,the therapy of hilar cholangiocarcinoma is still challenging.To meet the demand of precise surgery,the knowledge of anatomy,biological characteristics and liver functional reserve is needed and the technical aspects of pre-surgical intervention,liver resection and reconstruction of vessels are also very important.