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Анналы хирургической гепатологии

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Концептуальные аспекты хирургического лечения воротной холангиокарциномы

https://doi.org/10.16931/1995-5464.2017472-80

Аннотация

Целью данной статьи является отражение современных подходов к хирургическому лечению воротной холангиокарциномы. Радикальная операция (R0-резекция) должна быть основной целью лечения. В настоящее время резекция I сегмента и части IV сегмента печени в сочетании с правосторонней или левосторонней гемигепатэктомией, резекцией внепеченочных желчных протоков, лимфодиссекция гепатодуоденальной связки и в некоторых случаях сосудистая резекция являются стандартом хирургического лечения опухоли Клацкина.
В последнее время малая резекция печени как операция выбора была предложена для лечения этого заболевания. Однако безопасность и эффективность такого подхода являются спорными. Кроме того, на сегодняшний день нет консенсуса в отношении резектабельности опухоли у пациентов с местнораспространенной воротной холангиокарциномой.

Об авторах

Ю. А. Коваленко
ФГБУ “Институт хирургии им. А.В. Вишневского” Министерства здравоохранения Российской Федерации
Россия

Коваленко Юрий Алексеевич – канд. мед. наук, старший научный сотрудник отдела абдоминальной хирургии, отделения хирургической гепатологии и панкреатологии ФГБУ “Институт хирургии им. А.В. Вишневского” Минздрава России.

117997, г. Москва, ул. Большая Серпуховская, д. 27, Российская Федерация


Ю. О. Жариков
ФГБУ “Институт хирургии им. А.В. Вишневского” Министерства здравоохранения Российской Федерации
Россия

Жариков Юрий Олегович – канд. мед. наук, врач-хирург отдела абдоминальной хирургии, отделения хирургической гепатологии и панкреатологии ФГБУ “Институт хирургии им. А.В. Вишневского” Минздрава России.

117997, г. Москва, ул. Большая Серпуховская, д. 27, Российская Федерация



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Рецензия

Для цитирования:


Коваленко Ю.А., Жариков Ю.О. Концептуальные аспекты хирургического лечения воротной холангиокарциномы. Анналы хирургической гепатологии. 2017;22(4):72-80. https://doi.org/10.16931/1995-5464.2017472-80

For citation:


Kovalenko Yu.A., Zharikov Yu.O. Surgical Treatment of Hilar Cholangiocarcinoma (Review). Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2017;22(4):72-80. (In Russ.) https://doi.org/10.16931/1995-5464.2017472-80

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ISSN 1995-5464 (Print)
ISSN 2408-9524 (Online)