腹腔镜意外胆囊癌外科治疗体会

目的总结意外胆囊癌腹腔镜胆囊切除的经验。方法回顾性分析连续1037例腹腔镜胆囊切除术中的4例意外胆囊癌患者的临床特征、病理分期、手术及术后处理措施。结果术后病理分期2例为T1aNM,1例为00T1bNM,1例为TisNM,其中3例肿瘤位于体部,1例位于胆囊颈部息肉癌变。术后随访1～3年,无切口种植,腹腔0000及远处转移。结论LC只要注意技术操作,勿分破胆囊,并不会增加肿瘤扩散的机会;术后应根据PTNM分期及肿瘤部位决定是否行淋巴清扫。

Experience of surgical treatment on laparoscopic incidental gall bladder carcinoma

Objective To summarize the experience of laparoseopic cbolecystectomy (LC) for incidental carcinoma of gall bladder. Methods From January 2002 to December 2005, among consecutive 1037 cases received laporoscopic cholecystectomy (LC),4 cases with incidental carcinoma of gall bladder were found and it's clinical feature, pathological stage, operation and post-operative management were analyzed retrospectively. Results Postoperative pathological stage:2 cases was T1a NoMo, 1 case T1b No Mo and 1 case Tis No Mo. All cases were followed-up from 1 year to 3 years after operation. No incisional plantation, abdominal and distant metastasis were found. Conclusion If pay aftention to technical mqnipulation and without separated rapture of gall bladder, the spread chance of tumor is not be increased. According to PTNM stage and tumor position,the lymph node dissection is dicided,whether neccesarity.