意外胆囊癌临床分析  

Clinic analysis of unexpected gallbladder carcinoma

作　　者：马向东[1] 吕孝鹏[1] 宋涛[1] 刘鹏[1] 韩锡林[1] 

机构地区：[1]徐州市中心医院肿瘤外科,江苏省221009

出　　处：《中华肝胆外科杂志》2007年第4期228-229,共2页Chinese Journal of Hepatobiliary Surgery

摘　　要：目的探讨意外胆囊癌的临床特点及有效治疗方法。方法回顾性分析我院1990年1月至2002年12月间所发现意外胆囊癌26例的临床资料。结果行开腹胆囊切除术发现5例，小切口胆囊切除术发现15例，腹腔镜胆囊切除术发现6例，其中NevinⅠ期11例，Ⅱ期10例，Ⅲ期3例，Ⅳ期2例。Ⅰ、Ⅱ期均随访3年以上长期存活，Ⅲ期病例均术后2年内复发死亡，Ⅳ期1年内死亡。结论重视胆囊癌的高危因素，所有病例均行冰冻切片检查，手术为胆囊癌最有效的治疗手段，早期发现、合理治疗为提高胆囊癌生存的有效措施。Objective To investigate the clinic features and the effective therapeutic method of unexpected gallbladder carcinoma. Methods A retrospective analysis was performed in 26 cases of unexpected gallbladder carcinoma treated in our hospital from January 1990 to December 2002. Results The unexpected gallbladder carcinoma was found during open cholecystectomy in 11 patients, during minicholecystectomy in 12 and by laparoscopic cholecystectomy in 3. The tumor belonged to Nevin stage Ⅰ in 11 cases, stage Ⅱ in 10, stage Ⅲ in 3 and stage Ⅳ in 2. The patients with the tumor of Nevin stage Ⅰ, Ⅱ had lived over 3 years. The patients with the tumor of stage Ⅲ died within 2 years and those of stage Ⅳ died in 1 year. Conclusions Emphasis of the bad effect about gallbladder carcinoma, the routinely examination and frozen-section examination should be applied in all cases. Surgery is the primary therapeutic method for gallbladder carcinoma. Early finding and reasonable therapy are important for enhancing the survival of patients with unexpected gallbladder carcinoma.

关 键 词：胆囊肿瘤 意外胆囊癌 胆囊切除术 

分 类 号：R686[医药卫生—骨科学]