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首页> 外文期刊>Surgical Endoscopy >Laparoscopic hepatectomy and dissection of lymph nodes for intrahepatic cholangiocarcinoma. Case report.
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Laparoscopic hepatectomy and dissection of lymph nodes for intrahepatic cholangiocarcinoma. Case report.

机译：腹腔镜肝切除术和淋巴结清扫术治疗肝内胆管癌。案例报告。

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Usually intrahepatic cholangiocarcinoma has a poor prognosis, especially when it occurs with lymph node metastasis. As a treatment for intrahepatic cholangiocarcinoma, dissection of lymph nodes alone does not seem to offer any significant advantages. The laparoscopic hepatectomy procedure, however, is a minimally invasive liver surgery. We recently had the case of a patient who underwent successful laparoscopic hepatectomy and dissection of lymph nodes for intrahepatic cholangiocarcinoma in the left lateral segment of the liver. The patient had intrahepatic cholangiocarcinoma with distant lymph node metastasis around the common hepatic artery determined to stage IVb according to TNM classification. The operation time was 335 min, and the total blood loss was only 225 ml. A left lateral hepatectomy and complete lymph node dissection around the hepatoduodenal ligament and celiac trunk was performed. In this case, a laparoscopic procedure enabled the patient to have an early discharge, and there was no recurrence for 14 months. Another advantage for this patient was that the hospital stay lasted only 10 days. As compared with conventional surgery, laparoscopic surgery reduces blood loss and shortens the hospital stay. In conclusion, laparoscopic surgery for intrahepatic cholangiocarcinoma is a good treatment for advanced intrahepatic cholangiocarcinoma because it allows a positive early postoperative outcome and possibly a better result over the long term.
机译：通常，肝内胆管癌的预后较差，尤其是在发生淋巴结转移时。作为肝内胆管癌的治疗方法，仅切除淋巴结似乎没有任何明显的优势。但是，腹腔镜肝切除术是微创肝脏手术。最近，我们有一例患者成功进行了腹腔镜肝切除术并切除了肝左外侧肝内胆管癌的淋巴结。该患者患有肝内胆管癌，根据TNM分类确定为IVb期，在肝总动脉周围有远处淋巴结转移。手术时间为335分钟，总失血量仅为225 ml。进行了左侧肝切除术，并在肝十二指肠韧带和腹腔干周围完成了淋巴结清扫术。在这种情况下，腹腔镜手术可使患者早日出院，并且在14个月内没有复发。该患者的另一个优势是住院时间仅持续10天。与常规手术相比，腹腔镜手术减少了失血并缩短了住院时间。综上所述，腹腔镜手术治疗肝内胆管癌是晚期肝内胆管癌的良好治疗方法，因为它可以使术后早期积极转归，并可能长期取得更好的效果。

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