腹腔镜治疗胆囊癌的体会或分析

Experience or Analysis of Laparoscopic Treatment of Gallbladder Cancer

目的:总结腹腔镜治疗胆囊癌的临床体会。方法:对于2010年1月至2018年5月期间来我院就诊的原发性胆囊癌患者并且采用腹腔镜胆囊切除手术(LC)的30例患者临床资料进行研究,其中男性12例,女性18例,其中NevinⅠ期5例、NevinⅡ期6例、Ⅲ期15例、Ⅳ期4例,将这30例患者分为甲乙两组,甲组15例均只进行单纯的腹腔镜胆囊切除手术联合胆囊癌根治术,乙组15例均进行腹腔镜中转开腹治疗,再对甲乙两组的生存率差异进行χ^2检验和生存分析。结果:NevinⅠ期5例,至今已经分别存活7个月、16个月、18个月、30个月、56个月,甲乙两组生存率差异具有统计学意义。结论:对于Ⅱ期和Ⅲ期和Ⅳ期患者需要进行腹腔镜中转开腹。

Objective:To summarize the clinical experience of laparoscopic cholecystectomy.Methods:For between January 2010 and May 2010 to our hospital during the period of patients with primary gallbladder(LC)and laparoscopic gallbladder surgery clinical data of 30 patients,12 cases of men,women,18 cases,including Nevin Ⅰ period in 5 cases,Nevin Ⅱ period 6 cases,15 cases were phase Ⅲ,Ⅳ 4,the 30 patients were divided into two groups,a and party b,students’15 cases only pure laparoscopic gallbladder surgery joint,gallbladder radical treatment in 15 cases were performed laparoscopic b transfer laparotomy,Second,the difference of survival rate between group a and b was tested and analyzed.Results:5 NevinI patients have survived for 7 months,16 months,18 months,30 months and 56 months,respectively.The difference in survival rate between the two groups was statistically significant.Conclusions:Laparoscopic transit laparotomy is required for stage Ⅱ and stage Ⅲ and Ⅳ patients.