Progress In Diagnosis And Treatment Of Hilar Cholangiocarcinoma

HC’s early clinical manifestation appear untypically,when Patients have Obstructive jaundice and other symptoms,basically at the medium or advanced stage,it’s clinical efficacy is poor.In order to improve the clinical efficacy of HC in early diagnosis and standardized radical treatment,On the basis of finding the latest research progress at home and abroad,author discussed HC’spathogenesis,clinical manifestation,classification,diagnosis and treatment by combining with work experiences。Finging: At present,the pathogenesis of HC is still unknown,laboratory examination of CA19-9 and imaging B ultrasound,CT,MRCP,MRI is often used for diagnosis,bismuth typing is widely used as a preliminary evaluation method,The International Association of cholangiocarcinoma staging of HC is a better choice for the choice of surgical procedures,clinical resectability and prognosis,International,Surgical resection is still the main treatment for HC,The effect of radiotherapy and chemotherapy and photodynamic therapy(PDT)remains to be further studied.For patients with poor liver function,preoperative bile drainage may be considered,patients those may be insufficient for the postoperative residual liver function,preoperative doing portal vein embolization if necessary,At present,there is no consensus on the scope of intraoperative lymph node dissection,combined liver resection and combined vascular resection,At the same time,Under the condition of reasonable selection of patientswe don’tdeny the effectiveness of liver transplantation.