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中华肝脏外科手术学电子杂志 ›› 2025, Vol. 14 ›› Issue (03) : 317 -337. doi: 10.3877/cma.j.issn.2095-3232.2025.03.001

指南与共识

肝门部胆管癌诊断和治疗指南(2025版)
中国研究型医院学会肝胆胰外科专业委员会, 《中华消化外科杂志》编辑委员会()   
  • 出版日期:2025-06-10
  • 通信作者: 《中华消化外科杂志》编辑委员会
  • 基金资助:
    国家自然科学基金(92359301,82472865,82273066,82027807)中国科技期刊卓越行动计划(卓越二期-B1-090)

Guideline for diagnosis and treatment of perihilar cholangiocarcinoma (2025 edition)

Society for Hepato-pancreato-biliary Surgery of Chinese Research Hospital Association, Editorial Board of Chinese Journal of Digestive Surgery()   

  • Published:2025-06-10
  • Corresponding author: Editorial Board of Chinese Journal of Digestive Surgery
引用本文:

中国研究型医院学会肝胆胰外科专业委员会, 《中华消化外科杂志》编辑委员会. 肝门部胆管癌诊断和治疗指南(2025版)[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(03): 317-337.

Society for Hepato-pancreato-biliary Surgery of Chinese Research Hospital Association, Editorial Board of Chinese Journal of Digestive Surgery. Guideline for diagnosis and treatment of perihilar cholangiocarcinoma (2025 edition)[J/OL]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2025, 14(03): 317-337.

肝门部胆管癌是胆道恶性肿瘤的常见类型。肝门部胆管癌的诊疗涉及流行病学、临床诊断、影像学检查、临床分型分期、病理学、可切除性评估、围手术期管理、手术抉择、系统治疗以及随访监测等多个环节,是肝胆外科中诊疗难度最大、技术要求最高的领域之一。为指导我国肝门部胆管癌诊疗更规范、安全、有效地开展,中国研究型医院学会肝胆胰外科专业委员会和《中华消化外科杂志》编辑委员会组织全国肝门部胆管癌领域的专家共同制订《肝门部胆管癌诊断和治疗指南(2025版)》,旨在基于最新临床实践与循证医学原则,提供肝门部胆管癌的规范化诊断与治疗方案,以提升诊疗水平并改善患者预后,为我国开展肝门部胆管癌治疗的外科医师提供科学指导和参考。

Perihilar cholangiocarcinoma is the common type of malignant tumor in the biliary tract.The diagnosis and treatment of perihilar cholangiocarcinoma involve multiple aspects such as epidemiology,clinical diagnosis, imaging examination, clinical classification and staging, pathology, resectability evaluation,perioperative management, surgical planning, systematic treatment, and follow-up monitoring, which make it as one of the difficult and technically demanding fields in hepatobiliary surgery. In order to guide the more standardized, safe, and effective treatment of hilar cholangiocarcinoma in China, the Society for Hepatopancreato-biliary Surgery of Chinese Research Hospital Association and Editorial Board of Chinese Journal of Digestive Surgery have organized experts in the field of hilar cholangiocarcinoma nationwide to develop the Guideline for diagnosis and treatment of perihilar cholangiocarcinoma (2025 edition). The aim is to provide standardized diagnosis and treatment plans for perihilar cholangiocarcinoma based on the latest clinical practice and evidence-based medicine principles, to improve diagnosis and treatment levels and patient prognosis, and to provide scientific guidance and reference for surgeons in China.

图1 肝门部胆管癌的诊疗流程
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