122例原發性膽囊癌外科治療體會_《中國普外基礎與臨床雜志》

作者：

楊培 , 嚴律南 , 智星 , 李波

四川大學華西醫院普外科（成都610041）;

關鍵詞：

原發性膽囊癌外科治療

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目的探討原發性膽囊癌治療的措施。方法對我院1998年4月至2003年2月外科治療的122例原發性膽囊癌患者的臨床資料，結合部分患者隨訪結果進行分析總結。結果19例Ⅰ、Ⅱ及Ⅲ期膽囊癌患者手術治療效果滿意； 103例Ⅳ、Ⅴ期膽囊癌患者中34例行根治或擴大根治術，根治切除率為33.0%，余69例行姑息性手術治療，行膽囊癌根治術后患者的平均生存時間明顯長于姑息性手術者（17.6個月 vs 7.3個月）。結論對膽囊癌應采取積極的、個體化的治療措施。擴大根治術可使部分Ⅳ、Ⅴ期膽囊癌患者受益。應注意淋巴結清掃的范圍和做到無殘留癌的根治性切除。對綜合治療的研究還需進一步深入。

引用本文： 楊培,嚴律南,智星,李波. 122例原發性膽囊癌外科治療體會. 中國普外基礎與臨床雜志, 2004, 11(3): 253-254. doi: 復制

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2. Suzuki K, Kimura T, Ogawa H. Is laparoscopic cholecystectomy hazardous for gallbladder cancer? [Ｊ]. Surgery, 1998; 123(3)∶311.
3. Z’graggen K, Birrer S, Maurer CA, et al. Incidence of port site recurrence after laparoscopic cholecystectomy for preoperatively unsuspected gallbladder carcinoma [Ｊ]. Surgery, 1998; 124(5)∶831.
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5. Shimada H, Endo I, Togo S, et al. The role of lymph node dissection in the treatment of gallbladder carcinoma [Ｊ]. Cancer, 1997; 79(5)∶892.
6. Kondo S, Nimura Y, Hayakawa N, et al. Regional and paraaortic lymphadenectomy in radical surgery for advanced gallbladder carcinoma [Ｊ]. Br J Surg, 2000; 87(4)∶418.
7. Oohashi Y, Shirai Y, Wakai T, et al. Adenosquamous carcinoma of the gallbladder warrants resection only if curative resection is feasible [Ｊ]. Cancer, 2002; 94(11)∶3000.
8. Kresl JJ, Schild SE, Henning GT, et al. Adjuvant external beam radiation therapy with concurrent chemotherapy in the management of gallbladder carcinoma [Ｊ]. Int J Radiat Oncol Biol Phys, 2002; 52(1)∶167.
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《中國普外基礎與臨床雜志》

122例原發性膽囊癌外科治療體會

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《中國普外基礎與臨床雜志》

122例原發性膽囊癌外科治療體會

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

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Content

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