意外胆囊癌的诊断与治疗  

Diagnosis and treatment of incidental gallbladder cancer

作　　者：姜小清[1] 邱应和[1] 

机构地区：[1]第二军医大学东方肝胆外科医院胆道一科,上海200438

出　　处：《中华消化外科杂志》2011年第2期91-92,共2页Chinese Journal of Digestive Surgery

基　　金：国家自然科学基金（30872507）

摘　　要：意外胆囊癌（unexpected gallbladder carcinoma,UGC）是指术前拟诊断为胆囊良性疾病,在胆囊切除术中或术后发现的胆囊癌.我国的胆囊结石发病率较高,UGC患者也越来越多.2002年8月至2008年8月我科共收治641例胆囊癌患者,其中UGC患者占9.8%.由于缺乏对UGC治疗的大宗病例的临床随机对照研究,因此,国际上尚无统一的治疗标准,尤其在初次LC是否影响UGC患者预后等方面存在许多争议[1].Unexpected gallbladder cancer （UGC） is a sort of gallbladder cancer discovered during or after laparoscopic cholecystectomy （LC） which was diagnosed as benign gallbladder disease before surgery. With the high incidence of gallstones in China, the number of patients with UGC increases as well.However, due to the lack of randomized controlled trials on UGC, unified treatment has not been established, and argues on how LC will influence the prognosis of UGC still exist. Surgery for gallbladder cancer is technically challenging. The extent of resection varies based on a number of factors, and controversy exists regarding what constitutes an acceptable resection. We believe that satisfying treatment results are based on the surgical techniques, acute evaluation of different cases and wisely-chosen surgical procedures. This paper summarized therapeutic strategies for UGC based on our clinical experiences.

关 键 词：胆囊肿瘤 意外 诊断 治疗 

分 类 号：R735.8[医药卫生—肿瘤]