胆囊癌术后复发的影响因素  

Influencing factors of postoperative recurrence of gallbladder cancer

作　　者：赵良涛 程张军[1] ZHAO Liang-tao;CHENG Zhang-jun(Hepato-Pancreatobiliary Center,Zhongda Hospital Affiliated to Southeast University,Nanjing 210009,China)

机构地区：[1]东南大学附属中大医院肝胆胰中心,江苏南京210009

出　　处：《中国实用外科杂志》2023年第11期1299-1304,共6页Chinese Journal of Practical Surgery

基　　金：国家自然科学基金面上项目(No.81871988);江苏省重点研发计划项目(No.BE2019747)。

摘　　要：胆囊癌术后极易出现复发转移,导致预后不良。影响胆囊癌术后复发的因素是多方面的,如肿瘤分期、分子病理学特征、术中胆汁外溢、术区感染等。术前充分评估以减少意外胆囊癌的发生,规范诊疗流程,对高复发风险人群进行密切监测和合适的辅助治疗等,有助于降低胆囊癌复发转移发生率,改善病人预后和生存质量。Postoperative recurrence and metastasis often occur in gallbladder cancer patients,leading to poor prognosis.There are many factors affecting the postoperative recurrence of gallbladder cancer,such as the TNM stage of the tumor,molecular pathological characteristics,intraoperative bile spillage,surgical site infection,etc.Reducing the incidence of incidental gallbladder cancer through adequate preoperative evaluation,close postoperative monitoring,and appropriate adjuvant therapy for patients with high recurrence risk of gallbladder cancer are helpful to reduce the recurrence and metastasis of gallbladder cancer and improve the prognosis and quality of life of patients.

关 键 词：胆囊癌 复发 转移 感染 辅助治疗 

分 类 号：R6[医药卫生—外科学]