胆囊切除术后意外胆囊癌的治疗进展

Progress in the treatment for incidental gallbladder cancer after cholecystectomy

意外胆囊癌(incidental gallbladder cancer,IGBC)指因胆囊良性疾病行手术治疗,在术中通过冰冻病理检查(以下简称病检)或术后通过石蜡病检意外确诊的胆囊癌。相比于术前已明确诊断的胆囊癌病例,IGBC患者的病理分期通常较早,选择合适的治疗手段能改善预后,甚至可以长期无病生存。部分IGBC患者在术中通过冰冻病检明确了胆囊癌的诊断并完成了胆囊癌根治手术。但仍有许多IGBC患者术中未行冰冻病检,或进行了术中病检但病检结果未报癌。对于这部分患者应重视通过常规石蜡病检明确诊断及分期后的后续治疗。

Incidental gallbladder cancer(IGBC)is a kind of disease which has been performed the surgery owing to benign gallbladder disease but finally is found as a cancer by intraoperative frozen pathological examination or postoperative paraffin pathology examination.Compared with the case of gallbladder cancer that has been diagnosed before surgery,the pathological stages of IGBC patients are usually earlier and it is possible to improve the prognosis as well as let patients survive without disease for a long time by choosing appropriate treatment.Part of IGBC patients clearly diagnosed as gallbladder cancer through intraoperative frozen pathological examination and complete the radical surgery for gallbladder cancer.However,there're still many patients with IGBC don't have intraoperative frozen pathological examination during operation,or though has the intraoperative examination been done,which don't report the cancer.Therefore,for those people,the follow-up treatments should be paid attention to after the diagnosis being cleared by paraffin pathology examination.