No-Touch Concept Is Invalid for Left-Dominant Perihilar Cholangiocarcinoma
No-Touch Concept Is Invalid for Left-Dominant Perihilar Cholangiocarcinoma
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非接触概念对于左侧显性肝门周围胆管癌无效
DOI：
10.1007/s11605-018-3672-6
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发表时间：
2018-01
影响因子：
3.2
通讯作者：
Li Xiangcheng
中科院分区：
文献类型：
--
作者：
Ji Guwei;Wang Ke;Li Xiangcheng
胃肠外科杂志。研究表明，8 名晚期 PHC 患者接受了左半肝切除术，同时切除并重建了门静脉和肝动脉，使用了一种称为 Bno-touch 技术的新方法。^ Neuhaus 等人于 1999 年首次提出了用于 PHC 手术治疗的非接触技术概念，2 涉及右侧三部分切除术和常规门静脉重建。随后，Hirano 等人描述了一种类似的手术，将整块门静脉切除术与右半肝切除术相结合。 3 肿瘤学原理是，该技术避免了肿瘤背侧的门静脉分叉和右肝动脉的解剖，从而避免了恶性细胞的溢出。此外，右侧肝切除术还有以下几个解剖学优势：（1）左侧门板比右侧门板长约10毫米；（2）左尾状叶（Spiegel叶）分界明显；（3）肝右动脉和肝左动脉沿肝十二指肠韧带最左侧走行，很少受累。 4, 5 随后，沿左缘距肿瘤最远的肝门骨化切除。
Journal of Gastrointestinal Surgery. The study showed that eight patients with advanced PHC underwent left hemihepatectomy with simultaneous resection and reconstruction of portal vein and hepatic artery, using a novel approach termed the Bno-touch technique.^ The concept of no-touch technique for surgical management of PHC was first introduced in 1999 by Neuhaus et al., 2 involving right trisectionectomy with routine portal reconstruction. Subsequently, a similar procedure, combining en bloc portal vein resection with right hemihepatectomy, was described by Hirano et al. 3 The oncologic rationale is that this technique avoids dissection of the portal bifurcation and the right hepatic artery on the dorsal side of the tumor, thereby obviating spillage of malignant cells. Moreover, several anatomic advantages favor the right-sided hepatectomy as follows:(1) the left-sided hilar plate is approximately 10 mm longer than the right-sided hilar plate;(2) there is a distinct demarcation of the left caudate lobe (the Spiegel lobe), and;(3) the proper and left hepatic arteries run along the left-most portion of the hepatoduodenal ligament, and are rarely involved. 4, 5 Subsequently, skeletonization resection of the hepatic hilum along the left border is farthest away from the tumor.
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影响因子：
25.7
作者：
Chatelain, Denis;Farges, Olivier;Regimbeau, Jean-Marc
通讯作者：
Regimbeau, Jean-Marc
DOI：
10.1007/s00534-009-0093-7
发表时间：
2009-04
期刊：
Journal of hepato-biliary-pancreatic surgery
影响因子：
--
作者：
S. Hirano;S. Kondo;Eiichi Tanaka;T. Shichinohe;T. Tsuchikawa;Kentaro Kato
通讯作者：
S. Hirano;S. Kondo;Eiichi Tanaka;T. Shichinohe;T. Tsuchikawa;Kentaro Kato
影响因子：
3.2
作者：
Ji, Gu-wei;Zhu, Fei-peng;Li, Xiang-cheng
通讯作者：
Li, Xiang-cheng
影响因子：
3.2
作者：
Lu, Liang-He;Zhang, Yong-Fa;Guo, Rong-Ping
通讯作者：
Guo, Rong-Ping
DOI：
10.1016/j.jss.2017.03.027
发表时间：
2017-06
期刊：
The Journal of surgical research
影响因子：
--
作者：
G. Ji;F. Zhu;Ke Wang;Yong-xiang Xia;C. Jiao;Zi-cheng Shao;Xiang-Cheng Li
通讯作者：
G. Ji;F. Zhu;Ke Wang;Yong-xiang Xia;C. Jiao;Zi-cheng Shao;Xiang-Cheng Li