摘要
目的:探讨腹腔镜胆囊切除术(LC)意外胆囊癌的诊断和治疗。方法:回顾性分析1998年1月—2007年1月收治的23例意外胆囊癌患者的临床资料。结果:15例术中快速冷冻病理证实为胆囊癌,其中13例中转开腹行胆囊癌根治术;8例术后病理证实,其中7例行二次开腹手术。全组术后5年生存率为78.3%,患者预后与其临床分期密切相关。结论:意外胆囊癌多为早期胆囊癌,高危病例应重视术中快速病理检查及标本检查;T1b-T2期宜扩大根治,晚期患者视情况行根治性手术或姑息治疗。
Objective: To discuss the diagnosis and treatment of incidental gallbladder cancer (IGC) during laparoscopic cholecystectomy. Methods: The clinical data of 23 patients with IGC admitted to our hospital from January 1998 through January 2007 were retrospectively analyzed.
Results: Fifteen patients were identified as gallbladder cancer by intraoperative frozen-section examination, 13 of them were converted to open radical resection; 8 patients were diagnosed by postoperative pathology, 7 of whom underwent a secondary open surgery. The postoperative 5-year survival rate of the entire group was 78.3%, and the prognosis oflGC was closely related to the TNM stages.
Conclusion: Incidental gallbladder cancer is often in early stage, attention should be paid to the specimen examination and intraoperative fast frozen-section in the high-risk patients. The extended radical operation is preferred for patients with T1b-T2 tumors, and for the advanced stage cases, whether to perform radical operation or palliative procedures may depend on the individual's condition.
出处
《中国普通外科杂志》
CAS
CSCD
北大核心
2012年第8期985-988,共4页
China Journal of General Surgery
关键词
胆囊肿瘤/诊断
意外胆囊癌
预后
Gallbladder Neoplasms/diag
Incidental Gallbladder Carcinoma
Prognosis