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积极开展中晚期胆囊癌的外科治疗:附32例报告
引用本文:彭淑牖,牟一平.积极开展中晚期胆囊癌的外科治疗:附32例报告[J].中华肝胆外科杂志,1999,5(5):291-292.
作者姓名:彭淑牖  牟一平
摘    要:目的 多数外科医生对中晚期胆囊癌的外科治疗持消极悲观态度,作者探讨积极采取外科治疗的价值。方法 对32 例中晚期胆囊癌患者进行积极的外科治疗,除胆囊切除外,另行肝段切除术7 例、半肝切除1 例、肝门部胆管切除高位胆肠吻合4 例、肝段切除并肝门部胆管切除高位胆肠吻合6例、肝部分及胰头十二指肠切除14 例。其中26 例行肝十二指肠韧带骨骼化清扫。结果 手术均顺利完成,17 例12 个月前手术者,10 例仍存活,其中2 例已超过30 个月,最长达40 个月;15 例12 个月内手术者14 例存活。结论 对中晚期胆囊癌积极进行根治性手术,能改善其生活质量,延长生存期。

关 键 词:胆囊肿瘤  外科治疗  骨骼化  肝部分及胰头十二指肠切除术

Actively performing radical surgery for advanced gallbladder carcinoma: a report of 32 cases
PENG Shu you,PENG Chenghong,MOU Yiping,et al..Actively performing radical surgery for advanced gallbladder carcinoma: a report of 32 cases[J].Chinese Journal of Hepatobiliary Surgery,1999,5(5):291-292.
Authors:PENG Shu you  PENG Chenghong  MOU Yiping  
Institution:PENG Shu you,PENG Chenghong,MOU Yiping,et al. Second Affiliated Hospital and Sir Run Run Show Hospital,Zhejiang Unviversity,Hangzhou 310009
Abstract:Objective Most surgeons hold a pessimistic view at radical surgery for patients with advanced gallbladder carcinoma. The objective of this paper was to determine whether radical surgery is helpful for patients with advanced gallbadder carcinoma. Method Radical surgery for 32 patients with advanced gallbladder carcinoma was performed. These patients include 7 cases subjected to liver segmentectomy, one case to hemiheptectomy, and 4 cases to resetion of hilar bile duct, 6 cases to combined resection of hepatic segments with hilar bile duct, and 14 cases to hepaticopancreatoduodenectomy (HPD). Skeletonization of hepatoduodenum ligament was performed in 26 cases. Results All the operations were carried out successfully. Of the 17 cases who received the operations 12 months ago, 10 are still alive and 2 have lived more than 30 months. The longest survival time is 40 months. Of the 15 cases operated in last 12 months, 14 cases are still alive. Conclusion It is possible to prolong the life or improve the life quality of patients with advanced gallbladder carcinoma by doing radical surgery more actively.
Keywords:Gallbladder carcinoma    Surgical treatment    Skeletonization    Hepatoduodenectomy(HPD)
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