腹腔镜胆囊切除术恶性肿瘤漏诊原因

Missed Diagnosis of Malignant Tumor during Laparoscopic Cholecystectomy

目的:探讨预防腹腔镜胆囊切除术中漏诊恶性肿瘤的方法。方法:回顾分析1997年12月—2007年6月腹腔镜胆囊切除术中4例患者漏诊恶性肿瘤临床资料。结果:本组漏诊4例恶性肿瘤,其中胃癌1例,升结肠癌2例,胰腺癌1例,2例失去手术时机,2例行姑息手术治疗。结论:腹腔镜胆囊切除术前仔细分析病史,完善检查项目,遵循外科术中全面探查原则是减少漏诊的关键。

Objective：To investigate the method of prevention of missed diangnosis of malignancy in laparoscopic cholecystectomy.Methods：Clinical data of 4 patients who were missed diagnosis of malignancy during laparoscopic cholecystectomy from December 1997 to June 2007 were analyzed retrospectively.Results：Four cases were missed diagnosis of malignancy incluoling ascending colon cancer（2 cases）,gastric cancer（1 case）,pancreatic cancer（1 case）,Among them,2 were performed alleviative treatment,2 missed operation opportunity.Conclusion：The main measures to decrease missed diagnosis for malignancy during laparoscopic cholecystectomy are to analyz clinical data carefully to complete preoperative check-ups,and to identify the principle of abdominal cavity exploration.