《外科肿瘤学年鉴：原发性肝脏与胆系肿瘤的管理》实践指南系列。
Annals of Surgical Oncology Practice Guidelines Series: Management of Primary Liver and Biliary Tract Cancers.
发表日期：2023 Sep 11
作者：
Samantha M Ruff, Jordan M Cloyd, Timothy M Pawlik
来源：
ANNALS OF SURGICAL ONCOLOGY
摘要：
肝胆道原发性癌是一种罕见且侵袭性极高的肿瘤，通常表现为局部晚期或转移性疾病。对于可切除的局部疾病患者，手术通常提供了最佳的治愈性治疗机会。然而，即使进行了治愈性手术，复发率仍然很高。反过来，肝胆道癌患者通常需要多模式治疗，包括切除术、系统治疗（如靶向治疗、细胞毒化疗、免疫治疗）和/或局部区域疗法的组合。随着该领域的进展，对于外科肿瘤学家而言，及时了解最新的指南和推荐以进行手术管理和优化患者选择至关重要。鉴于治疗的复杂性和不断发展的特点，本报告强调了肝胆道癌手术管理的最新实践指南。© 2023. Society of Surgical Oncology.
Primary cancers of the liver and biliary tract are rare and aggressive tumors that often present with locally advanced or metastatic disease. For patients with localized disease amenable to resection, surgery typically offers the best chance at curative-intent therapy. Unfortunately, the incidence of recurrence even after curative-intent surgery remains high. In turn, patients with hepatobiliary cancers commonly require multimodality therapy including a combination of resection, systemic therapy (i.e., targeted therapy, cytotoxic chemotherapy, immunotherapy), and/or loco-regional therapies. With advancements in the field, it is crucial for surgical oncologists to remain updated on the latest guidelines and recommendations for surgical management and optimal patient selection. Given the complex and evolving nature of treatment, this report highlights the latest practice guidelines for the surgical management of hepatobiliary cancers.© 2023. Society of Surgical Oncology.