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肝门部胆管癌或称高位胆管癌,是指发生于左右肝管及其汇合部的恶性肿瘤,又称为Klastin瘤,占肝外胆管癌(EHBDC)的58%~75%[1]。根治性手术是肝门部胆管癌患者获得长期生存的惟一预后因素,术前对肝门部胆管癌的可切除性评估目前尚难达到十分准确的水平。一般以MRCP或PTC影像学检查胆管梗阻部位未超过二级肝管,
Hilar cholangiocarcinoma, or high cholangiocarcinoma, refers to the malignant tumor that occurs in the left and right hepatic duct and its junction, also known as Klastin tumor, accounting for 58% to 75% of extrahepatic cholangiocarcinoma (EHBDC) [1]. Radical surgery is the only prognostic factor for obtaining long-term survival in patients with hilar cholangiocarcinoma. It is difficult to assess the resectability of hilar cholangiocarcinoma preoperatively to a very accurate level. General MRCP or PTC imaging examination bile duct obstruction site did not exceed the second liver tube,