Strategy for surgical treatment of intrahepatic cholangiocarcinoma / 国际外科学杂志

ABSTRACT

Intrahepatic cholangiocarcinoma (ICC) is a high malignant tumor, which has strong invasive, high postoperative recurrent and metastatic, and poor prognosis. Surgical resection is still the most preferred treatment for patients with ICC. The multi-disciplinary team strategy should be adopted in the treatment of ICC, which active surgery is the first choice. Radical resection and routine regional lymph node dissection with effective postoperative adjuvant therapy can improve the patient′s survival and prognosis. Neoadjuvant chemotherapy is recommended as a downstaging option for initially unresectable patients with ICC so that part of patients can obtain the opportunity of R0 resection. The recurrent ICC patients should be treated in a multidisciplinary mode.