胆囊癌外科规范化治疗策略的探讨与思考

Surgical treatment of gallbladder cancer: Strategy and optimization

胆囊癌是胆道系统最常见的恶性肿瘤,因其缺乏早期特异性症状和体征,因此多数病例发现时已属中晚期,且对放化疗不敏感,总的预后较差.根治性的胆囊癌切除术可延长患者的生存时间,然而目前对于具体手术方式的选择尚存在一些争议.本文就胆囊癌术式的合理规范化选择进行分析和探讨,希望提高对于胆囊癌手术治疗的认识.

Gallbladder cancer is the most common malignant tumor of the biliary tract. It is difficult to diagnose early due to the lack of special symptoms and physical signs. Most cases are diagnosed in advanced stages and the response to traditional chemotherapy and radiotherapy is extremely limited, with modest impact on overall survival. Despite improvements in outcome associated with extended resections, selection of patients for such extensive surgery remains controversial. In this article, we analyze and discuss the key issues about the surgical management of gallbladder cancer, with the hope of a more comprehensive recognition of this malignancy.