意外胆囊癌的外科临床策略

Surgical methods of unexpected gallblader carcinoma

目的:探讨意外胆囊癌的外科临床处理对策。方法:回顾性分析我院1990年1月至2002年12月间发现的26例意外胆囊癌病人的外科处理方法及预后情况。结果:行开腹胆囊切除术发现5例,小切口胆囊切除术发现15例,腹腔镜胆囊切除术发现6例,NevinⅠ、Ⅱ期均随访3年以上长期存活,Ⅲ期病例均术后2年内复发死亡,Ⅳ期1年内死亡。结论:重视胆囊癌的高危因素及非典型声像图,所有病例均应行冰冻切片检查,可减少胆囊癌的漏诊,手术为胆囊癌最有效的治疗手段。

Objective： To investigate the surgical methods of unexpected gallblader carcinoma （UGC）. Methods ： A retrospective analysis was performed in 26 cases of UGC＇s clinical materials treated in our hospital from January 1990 to December 2002. Results： Five cases were found in open cholecystectomy（ OC ）, 15 cases in minicholecystectomy （MC） ,6 cases in laparoscopic（LC） ; Patients in stage I , 11 had lived over 3 years, Stage ~ died within 2 years, Stage IV died in 1 year. Conclusion： To emphysize the bad effect and the non - typical ultrasonography about gall- bladder carcinoma, the frozen - section examination should be applied in all cases, surgery is the primary therapeutic method for gallbladder carcinoma.