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Chinese Journal of Hepatic Surgery(Electronic Edition) ›› 2024, Vol. 13 ›› Issue (06): 774-778. doi: 10.3877/cma.j.issn.2095-3232.2024996

• Expert Opinions • Previous Articles    

Key problems in the application of hepatopancreaticoduodenectomy for gallbladder cancer and cholangiocarcinoma

Kecan Lin1,(), Liuping Luo2   

  1. 1.Department of Hepatobiliary and Pancreatic Surgery,the First Affiliated Hospital of Fujian Medical University,Fuzhou 350006,China
    2.Department of Hepatobiliary and Pancreatic Surgery,Meng Chao Hepatobiliary Hospital of Fujian Medical University,Fuzhou 350046,China
  • Received:2024-06-10 Online:2024-12-10 Published:2024-11-22
  • Contact: Kecan Lin

Abstract:

Patients with gallbladder cancer and cholangiocarcinoma have poor prognosis,and surgical resection is the final option. Hepatopancreatoduodenectomy (HPD) is the only radical surgical treatment for gallbladder cancer and cholangiocarcinoma patients with tumor widely spread and infiltrating the hilum and pancreatic bile duct. However,the application scope of HPD is limited due to high mortality and complication rates and uncertain survival benefits. Although perioperative mortality of HPD has been gradually decreased and survival rate has been improved in recent years,HPD has not become a common surgical procedure for patients with locally advanced gallbladder cancer and cholangiocarcinoma. In this article,the indications,key techniques,safety and efficacy of HPD in gallbladder cancer and cholangiocarcinoma were explicitly illustrated.

Key words: Gallbladder cancer, Cholangiocarcinoma, Hepatopancreatoduodenectomy, Indications, Morbidity, Mortality, Survival benefits

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