Wang Huanmin.Adopting new technology to optimize the surgical treatment of hepatobiliary cancer in children[J].Journal of Clinical Pediatric Surgery,,19():377-381.[doi:10.3969/j.issn.1671-6353.2020.05.001]
Adopting new technology to optimize the surgical treatment of hepatobiliary cancer in children
- CLC:
- R726.1;R735.7;R73-35
- Abstract:
- The surgery of hepatobiliary cancer is rather complicated and dangerous so that new concepts and techniques should be adopted for improving its managements.As for rich blood supply of liver,the concept of bloodless procedure is particularly practical for hepatobliary surgery.Only through such a practice,safety of surgery may be guaranteed for enabling precision surgery.Through various kinds of techniques,precision surgery yields optimal outcomes with the smallest invasion and utmost hepatic protection.The tecnique advancements of hepatectomy have enabled more and more complicated super-hepatectomy.Meanwhile,a scientific and objective decision should be based upon a balance of super hepatetomy and liver transplant.As a vital aspect of liver surgery,mini-invasive procedure should be popularized more widely.Whatever the complication of procedure or minimization of invasion,oncological principle is fundamentally required for obtaining optimal survival benefits.
References:
1 谭定勇,邓青松,龚建平.肝脏外科精准治疗研究进展[J].国际外科学杂志,2019,46(2):136-140.DOI:10.3760/cma.j.issn.1673-4203.2019.02.015. Tan DY,Deng QS,Gong JP.Research advances in the precise treatment of liver surgery[J].International Journal of Surgery,2019,46(2):136-140.DOI:10.3760/cma.j.issn.1673-4203.2019.02.015.
2 卢实春,顾万清.肝胆肿瘤外科治疗精准医学概要[J].中华肝胆外科杂志,2019,25(1):1-4.DOI:10.3760/cma.j.issn.1007-8118.2019.01.001. Lu SC,Gu WQ.Essentials of precision surgical oncology for hepatobiliary tumors[J].Chinese Journal of Hepatobiliary Surgery,2019,25(1):1-4.DOI:10.3760/cma.j.issn.1007-8118.2019.01.001.
3 董家鸿,冯晓彬.精准外科时代的肝门部胆管癌治疗[J].中华消化杂志,2019,18(4):307-310.DOI:10.3760/cma.j.issn.1673-9752.2019.04.003. Dong JH,Feng XB.Treatment of hilar cholangiocarcinoma in the era of precision surgery[J].Chinese Journal of Digestive Surgery,2019,18(4):307-310.DOI:10.3760/cma.j.issn.1673-9752.2019.04.003.
4 梁霄,蒋桂星.腹腔镜肝切除的优势与关键技术[J].肝胆外科杂志,2019,27(4):241-243. Liang X,Jiang GX.Advantages and key techniques of laparoscopic hepatectomy[J].Journal of Hepatobiliary Surgery,2019,27(4):241-243.
5 郑百俊,程继文,高亚,等.腹腔镜肝切除术与开腹肝切除术治疗肝母细胞瘤的临床效果比较[J].临床小儿外科杂志,2019,18(11):935-940.DOI:10.3969/j.issn.1671-6353.2019.11.008. Zheng BJ,Cheng JW,Gao Y,et al.Safety,feasibility and short-term outcome of laparoscopic liver resection versus open liver resection for hepatoblastoma[J].J Clin Ped Sur,2019,18(11):935-940.DOI:10.3969/j.issn.1671-6353.2019.11.008.
6 辛昊扬,王征,周俭.联合肝脏分隔和门静脉结扎二步肝切除术的研究进展[J].中华消化外科杂志,2019,18(2):194-198.DOI:10.3760/cma.j.issn.1673-9752.2019.02.017. Xin HY,Wang Z,Zhou J.Research advances of associating liver partition and portal vein ligation for staged hepatectomy[J].Chinese Journal of Digestive Surgery,2019,18(2):194-198.DOI:10.3760/cma.j.issn.1673-9752.2019.02.017.
7 姚伟,董岿然,肖现民,等.联合肝脏离断和门静脉结扎二步肝切除术治疗儿童肝母细胞瘤一例报告[J].中华小儿外科杂志,2018,39(8):597-603.DOI:10.3760/cma.j.issn.0253-3006.2018.08.009. Yao W,Dong KR,Xiao XM,et al.Associating liver partition and portal vein ligation for staged hepatectomy for hepatoblastoma:a report of one case[J].Chin J Pediatr Surg,2018,39(8):597-603.DOI:10.3760/cma.j.issn.0253-3006.2018.08.009.
8 曾承,叶啟发.自体肝移植相关技术与并发症[J].中华肝胆外科杂志,2017,23(8):563-565.DOI:10.3760/cma.j.issn.1007-8118.2017.08.020. Zeng C,Ye QF.Key techniques and complications related with autologous liver transplantation[J].Chinese Journal of Hepatobiliary Surgery,2017,23(8):563-565.DOI:10.3760/cma.j.issn.1007-8118.2017.08.020.
9 史淑君,康权.儿童离体或半离体肝切除自体肝移植术[J].临床小儿外科杂志,2017,16(6):537-540.DOI:10.3969/j.issn.1671-6353.2017.06.004. Shi SJ,Kang Q.Ex vivo or semi-ex vivo autologous liver transplantation[J].J Clin Ped Sur,2017,16(6):537-540.DOI:10.3969/j.issn.1671-6353.2017.06.004.
10 章文燕,郑树森.肝癌移植术后复发相关标志物的研究进展[J].临床医学进展,2019,9(3):310-318.DOI:10.12677/ACM.2019.93047. Zhang WY,Zheng SS.Molecular markers and recurrence of hepatocellular carcinoma after liver transplanta-tion[J].Advances in Clinical Medicine,2019,9(3):310-318.DOI:10.12677/ACM.2019.93047.
11 Pham TA,Gallo AM,Concepcion W,et al.Effect of liver transplant on long-term disease-free survival in children with hepatoblastoma and hepatocellular cancer[J].JAMA Surg,2015,150(12):1150-1158.DOI:10.1001/jamasurg.2015.1847.
12 de Freitas Paganoti G,Tannuri ACA,Dantas Marques AC,et al.Extensive hepatectomy as an alternative to liver transplant in advanced hepatoblastoma:a new protocol used in a pediatric liver transplantation center[J].Transplant Proc,2019,51(5):1605-1610.DOI:10.1016/j.transproceed.2019.03.004.
Memo
收稿日期:2020-03-30。
基金项目:中国工程院咨询研究课题（编号：2019-XY-34）
作者简介:王焕民,Email:wanghuanmin@bch.com.cn