基于TNM分期的胆囊癌手术治疗

Surgical treatment of gallbladder cancer based on TNM staging

选择合适的手术方式使病人获得良好预后是目前胆囊癌外科治疗的重要研究方向。具体手术方式应根据胆囊癌分期而定,目前国内外最常用的是TNM分期。对于Tis、T1a期胆囊癌病人行单纯胆囊切除术即可达到治愈目的,T1b、T2、T3、T4N0-1M0期胆囊癌病人可根据术中评估结果采取根治切除术或扩大根治切除术,从而达到R0切除。M1期病人行扩大根治切除手术意义已不大,可采取姑息手术治疗,以改善病人生活质量为目标。

It is important for the current surgical treatment of gallbladder cancer to choose the appropriate surgical methods to make the patients get a good prognosis.The specific operation method should be determined according to the staging of gallbladder cancer.At present,the academic circles at home and abroad generally believe that TNM clinical staging has important guiding significance for the choice of surgical treatment of gallbladder cancer.For patients with stage Tis and T1 a gallbladder cancer,simple cholecystectomy can achieve the goal of cure.For patients with stage T1 b、T2、T3、T4 N0~1 M0 gallbladder cancer,radical resection or extended radical resection can be adopted according to the results of intraoperative evaluation,so as to achieve R0 resection.For M1 patients can not achieve radical resection,palliative surgery can be used to improve the quality of life of patients.