原发性胆囊癌30例的诊治分析

The Diagnosis and Treatment of 30 Cases of Primary Gallbladder Carcinoma

对30例原发性胆囊癌的诊断治疗及疗效进行分析。认为:对高危胆囊结石病人适当放宽外科手术指征和术中对胆囊标本的仔细探查是早期发现胆囊癌的关键,-期胆囊癌可行单纯胆囊切除或胆囊癌扩大切除术,期以上胆囊癌应尽可能在切除胆囊原发灶基础上行肝内、外胆管引流,特别是“U”管外引流。

In the study we examined 30 cases of carcinoma of gallbladder including diagnosis,operation and follow up in recent 18 years restrospectively.To perform cholecystectomy for high risk gallbladder stone and to examine the sample carefully are very important to discover carcinomas of gallbladder early.Although cholecystectomy or radical resection was necessary for patients in stage Ⅰ Ⅱ,cholecystectomy and biliary drainage could be performed for patients in stage Ⅲ Ⅴ instead of radical resection which is very difficult to perform,and drainage of 'U' tube is specially recommended.\;