How to Determine Unresectability in Hilar Cholangiocarcinoma

被引：4

作者：

Pratt, Catherine G. ^{[1
]}

Whitrock, Jenna N. ^{[1
]}

Shah, Shimul A. ^{[1
,2
]}

Fong, Zhi Ven ^{[3
]}

机构：

[1] Univ Cincinnati, Dept Surg, Cincinnati Res Outcomes & Safety Surg CROSS Res Gr, Coll Med, 231 Albert Sabin Way,ML 0558, Cincinnati, OH 45267 USA

[2] Univ Cincinnati, Coll Med, Dept Surg, Div Transplantat, 231 Albert Sabin Way,MSB 2006C,ML 0519, Cincinnati, OH 45267 USA

[3] Mayo Clin, Dept Surg, Div Surg Oncol & Endocrine Surg, Mayo Clin Arizona,Coll Med, 5777 East Mayo Blvd, Phoenix, AZ 85054 USA

来源：

SURGICAL CLINICS OF NORTH AMERICA | 2024年 / 104卷 / 01期

关键词：

Hilar cholangiocarcinoma; Klatskin tumor; Vascular invasion; Transplant; Unresectability; Resectability; PREOPERATIVE BILIARY DRAINAGE; PERIHILAR CHOLANGIOCARCINOMA; LIVER RESECTION; NEOADJUVANT CHEMORADIATION; VEIN EMBOLIZATION; RISK-FACTORS; SURGERY; TRANSPLANTATION; COMPLICATIONS; RESECTABILITY;

D O I：

10.1016/j.suc.2023.09.001

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

hCCA is a biologically aggressive disease for which the only curative treatment remains surgical resection. The intersection of the patient's physical reserve, locoregional tumor involvement of porta hepatis structures, predicted resection requirements with resul-tant FLR, and accurate assessment of metastatic disease heavily influence patient selection and their ultimate ability to undergo surgical resection. A multidisciplinary, holistic, and individualized approach to patient selection is critical to accurately deter-mine resectability and optimize clinical outcomes for patients with hCCA.

引用

页码：197 / 214

页数：18

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