Abstract:

Value and evaluation of hilar surgical approach in hilar biliary stricture        SHEN Sheng, GONG Zi-jun,LIU Hou-bao. Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China
Corresponding author: LIU Hou-bao, E-mail: liu.houbao@
zs-hospital.sh.cn
Abstract    Hilar biliary stricture is usually divided into malignant stricture and benign stricture. How to effectively deal with hilar biliary stricture has always been the focus in biliary surgery. Because it involves bile duct, hepatic artery, portal vein and liver parenchyma, the choice of surgical path is very important. The approach based on perihilar surgical technique can better expose the operative area and have the advantage of performing precise treatment, thus effectively improving the radical cure rate of hilar cholangiocarcinoma and reducing the surgical difficulty.

Key words: hilar biliary stricture, hilar surgical approach, perihilar surgical technique

摘要：

肝门部胆管狭窄通常分为恶性狭窄和良性狭窄。如何有效处理肝门部胆管狭窄一直是胆道外科中的重点与难点。由于其涉及胆管系统、肝动脉系统、门静脉系统以及肝脏实质等，因此，对手术路径的选择至关重要。基于围肝门技术的肝门入路术式，能更好的显露肝门区各管道的解剖，并行精准处理，从而有效提高肝门部胆管癌的手术根治率，降低胆管狭窄的手术难度及手术风险。

关键词: 肝门部胆管狭窄, 肝门入路, 围肝门外科技术