原发性胆囊癌12例临床分析

Clinical analysis of 12 cases of primary gallbladder carcinoma

目的:探讨原发性胆囊癌早期诊断治疗方案和有效手术方法。方法:对862例胆囊疾病进行回顾性分析,胆囊炎、胆囊结石786例,胆囊息肉样病变73例,胆囊占位3例。结果:12例术后病理检查均为腺癌。术后随访行胆囊及肝楔状切除加肝十二指肠韧带内淋巴结清除者,5例生存1年,2例生存14个月,1例生存2年,单纯行胆囊切除2例均生存1年,胆囊切除及旁淋巴结活检+胆总管T管引流2例生存4个月。结论:原发性胆囊癌应早期诊断,早期手术,早期综合治疗。

Objective： To investigate the early diagnosis and treatment of the gallbladder carcinoma.Methods From March 1996 to October 2006,862 cases of the gallbladder disease in the First Affiliated Hospital of Anhui Medical University were studied retrospectively,among which there were 786 cases with cholecystolithiasis and cholecystitis,73 cases with cholecystis polypoid disease,3 cases with cholecystis and cholecystitis.Results： 12 cases with carcinoma of gallbladder were conformed by pathological examinations.The patients who were performed cholecystectomy and liver cuneiform lobectomy and lymph node dissection in duodenohepatic ligament had survived for 12 months in 5 cases,14 months in 2 cases,24 months in 1 case.The patients performed cholecystectomy and lymph node biopsy in duodenohepatic ligament and common bile duct Tube Drain had survived for 4 months in 2 cases.Conclusion The primary gallbladder carcinoma should be detected and treated as early as possible.