原发性胆囊癌外科治疗

SURGICAL TREATMENT FOR PRIMARY GALLBLADDER CARCINOMA

目的探讨原发性胆囊癌的诊断与治疗。方法对手术和病理确诊的60例胆囊癌病例的临床资料进行回顾性分析,并随访生存状况。结果B超和CT等影像诊断技术和腹腔镜技术的普及,有助于胆囊癌的早期诊断,但目前临床上仍以中晚期胆囊癌占绝大多数。结论胆囊癌早期诊断是提高生存率的关键,手术切除仍是最有效的治疗方法,切除可获得较高生存率。对局部进展的中晚期患者,积极进行扩大根治术(包括)有望提高生活质量及延长生存时间。

Objective To summarize the experience of diagnosis and surgical management for primary gallbladder cancer.Methods In this study,the clinical data of 60 patients with primary gallbladder carcinoma proved by both laparotomy and pathology in our hospital were retrospectively analyzed.Result The development of radiological technique and wide use of laparoscopical cholecystectomy maybe helpful for the early diagnosis.In clinic,most cases were actually diagnosed at middle or late stage.Conclusion The early diagnosis of gallbladder carcinoma is the key to raise survuval rate,and the operation is the only effective treatment method.For the patients with local advanced disease,extended resection(included HPD)may helpful to prolong the survival time.