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19例意外胆囊癌的诊断和治疗
引用本文:张洪义,孔亚林,张宏义,何晓军,刘承利,张希东,张辉,徐新保,肖梅. 19例意外胆囊癌的诊断和治疗[J]. 中国现代普通外科进展, 2009, 12(1)
作者姓名:张洪义  孔亚林  张宏义  何晓军  刘承利  张希东  张辉  徐新保  肖梅
作者单位:空军总医院,肝胆外科,北京,100036
摘    要:目的:探讨意外胆囊癌的临床特点及治疗措施.方法:对我院19例胆囊切除术中、术后发现的意外胆囊癌的诊治情况进行回顾性分析.结果:早期胆囊癌患者胆囊切除加淋巴结清除术10例,平均生存时间18.7个月;扩大根治术患者4例,平均生存时间为12.3个月;姑息性手术患者5例,生存时间均未超过6个月.结论:意外胆囊癌术中快速病理切片检查是诊断的关键,确诊后首选根治性切除术,具体治疗措施根据Nevin病理分期和术中8超检查决定.

关 键 词:胆囊肿瘤  诊断  手术

Diagnosis and clinical treatment of unexpected gallbladder carcinoma
ZHANG Hong-yi,KONG Ya-lin,ZHANG Hong-yi,HE Xiao-jun,LIU Cheng-li,ZHANG Xi-dong,ZHANG Hui,XU Xin-bao,XIAO Mei. Diagnosis and clinical treatment of unexpected gallbladder carcinoma[J]. Chinese Journal of Current Advances in General Surgery, 2009, 12(1)
Authors:ZHANG Hong-yi  KONG Ya-lin  ZHANG Hong-yi  HE Xiao-jun  LIU Cheng-li  ZHANG Xi-dong  ZHANG Hui  XU Xin-bao  XIAO Mei
Affiliation:Beijing 100036;China
Abstract:Objective: To investigate the cinlical features and therapeutic methods of unex-pected gallbladder carcinoma. Methods: A retrospective analysis was performed in 19 cases of unexpected gallbladder carcinoma treated in our hospital from April 2002 to April 2008. Results: Ten cases in early stage were perfomed gallbaldder resection and local lymph node removal, and the average survival time was 18.7 months; 4 cases were perfomed extend radical resection, and the average survival time was 12.3 months; 5 cases w...
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