胆囊癌行扩大根治术的应用价值及争议  

Application value and controversy of extended radical surgery for gallbladder cancer

作　　者：姜小清 胡明泰 王敬晗 JIANG Xiao-qing;HU Ming-tai;WANG Jing-han(Department of Biliary Tract SurgeryⅠ,Third Affiliated Hospital of Naval Medical University(Shanghai Eastern Hepatobiliary Surgery Hospital),Shanghai 200433,China;不详)

机构地区：[1]海军军医大学第三附属医院(上海东方肝胆外科医院)胆道一科,上海200433 [2]上海市东方医院(同济大学附属东方医院)肝胆胰外科同济大学医学院肝胆胰外科研究所,上海200120

出　　处：《中国实用外科杂志》2023年第11期1233-1237,共5页Chinese Journal of Practical Surgery

基　　金：上海市浦东新区科技发展基金事业单位民生科研专项(No.PKJ2022-Y18);上海市浦东新区卫生系统学科带头人培养计划项目(No.PWRd2022-05);上海市浦东新区卫生系统重点学科建设资助项目(No.PWZxk2022-02)。

摘　　要：根治性手术联合淋巴结清扫是胆囊癌唯一可能被治愈的方式,手术方案根据胆囊癌分期而定,但手术切除术范围、淋巴结清扫范围等方面仍存在不少争议。进展期胆囊癌行扩大根治术并不能使病人获得令人满意的生存获益,需要谨慎对待。以根治性手术为基础的综合治疗才有可能最大程度地改善胆囊癌病人的预后。Surgical resection associated with lymphadenectomy is the only chance to cure gallbladder cancer,the specific surgical plan is based on the staging,but several aspects of surgical management are controversial,including operative extent,and lymphadenectomy extent.Extended radical resection for advanced gallbladder cancer does not provide satisfactory survival benefits for patients and should be treated with caution.The comprehensive treatment based on radical resection is likely to improve the prognosis of gallbladder cancer patients to the greatest extent.

关 键 词：胆囊癌 扩大根治术 淋巴结转移 综合治疗 预后 

分 类 号：R6[医药卫生—外科学]