| 腹腔镜胆囊切除术中意外胆囊癌的临床诊治体会 |
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| 引用本文： | 王明俊,张银新,祁玉波. 腹腔镜胆囊切除术中意外胆囊癌的临床诊治体会[J]. 腹腔镜外科杂志, 2011, 16(7): 522-524. DOI: 10.3969/j.issn.1009-6612.2011.07.017 |
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| 作者姓名： | 王明俊 张银新 祁玉波 |
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| 作者单位： | 南通大学附属建湖医院; |
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| 摘 要： | 目的:总结腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)中意外胆囊癌(unexpected gallbladder carcinoma,UGC)的临床病理特点,探讨手术方法及预防转移复发的对策。方法:回顾分析1997年8月至2008年11月5 586例LC术中26例(0.47%)UGC患者的临床资料,应用Kaplan-Meier法对比单纯胆囊切除术组、胆囊癌根治术组及pTis、pT1期与pT2、pT3、pT4期患者的累积生存率。结果:26例UGC患者中,术前诊断以胆囊结石和胆囊息肉为主。按病理分期,pTis期2例,pT1a期4例,pT1b期3例,pT2期10例,pT3期5例,pT4期2例。胆囊癌根治组患者累积生存率优于单纯胆囊切除组;pTis、pT1期患者预后显著优于pT2、pT3、pT4期。结论:具有胆囊癌高危因素的患者,术前应全面分析临床资料,术中仔细剖检胆囊,标本行冰冻切片检查,一旦确诊应早期行根治性切除术,术中需采取措施预防肿瘤种植和转移。
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| 关 键 词： | 胆囊切除术 腹腔镜 胆囊肿瘤 意外 |
Diagnosis and treatment of unexpected gallbladder cancer during or after laparoscopic cholecystectomy |
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| WANG Ming-jun,ZHANG Yin-xin,QI Yu-bo. Diagnosis and treatment of unexpected gallbladder cancer during or after laparoscopic cholecystectomy[J]. Journal of Laparoscopic Surgery, 2011, 16(7): 522-524. DOI: 10.3969/j.issn.1009-6612.2011.07.017 |
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| Authors: | WANG Ming-jun ZHANG Yin-xin QI Yu-bo |
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| Affiliation: | WANG Ming-jun,ZHANG Yin-xin,QI Yu-bo.Department of General Surgery,Jianhu People's Hospital Affiliated to Nantong University,Yancheng 224700,China |
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| Abstract: | Objective:To summarize the clinical and pathological characteristics of unexpected gallbladder carcinoma(UGC) in laparoscopic cholecystectomy(LC),and investigate the operative methods and strategies for the prevention of metastasis and recurrence.Methods:Between Aug.1997 and Nov.2008,26 UGC patients were discovered among 5 586 cases of LC.A retrospective study was performed based on the clinical data of these patients.The cumulative survival rate between simple cholecystectomy group and radical operation fo... |
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| Keywords: | Cholecystectomy laparoscopic Gallbladder neoplasms Unexpected |
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