中晚期胆囊癌的外科治疗

SURGICICAL TREATMENT OF OBSTRUTIVE JAUNDICE CAUSED BY HEPATOCELLULAR CARCINOMA WITH BILE DUCT CANCER

目的探讨中晚期胆囊癌患者的外科手术治疗及其治疗效果。方法对45例中晚期胆囊癌患者行外科手术治疗回顾性总结和分析。结果总体中位生存时间11个月;扩大根治性切除术23例,姑息性切除术14例,胆道内或外引流术8例,扩大根治性切除术、姑息性切除术和胆道内或外引流术生存期(月)分别为31、7、2.7,扩大根治性切除术5年生存率17.4%、姑息性切除术和胆道内或外引流术最长生存时间11个月;扩大根治性切除术明显优于姑息性切除和胆道内或外引流术(P<0.01)。结论对中晚期胆囊癌积极行扩大根治术,能改善患者生活质量,延长生存期。

Objective To study the surgical therapy and the effect of advanced gallbladder carcinoma. Methods Retrospective study was performed in 45 cases of advanced gallbladder carcinoma found in our hospital underwent surgery were analyzed. Results The total average survival time was 11 months; 23 received extended radical resection , 14 Were palliative resection and 8 laparotomy,The mean survival time was 31 months,7 months and 2.7 months respectively, Postoperative 5-year survival rate in extended radical resection group werel7. 4% , The longest survival period of palliative resection group and laparotomy group were 11 months ;The extended radical resection group which were significantly higher than those in palliative resection group and laparotomy group （P 〈 0. 01 ）. Conclusion The results showed that extended radical resection of advanced gallbladder carcinoma is effective in relieving symptoms and prolonging Lifespan.