| 腹腔镜胆囊切除术意外胆囊癌28例报告 |
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| 引用本文： | 范育林,龚仁华,徐正涛,李勇,何新苗,蔡军,刘其春,徐义仁.腹腔镜胆囊切除术意外胆囊癌28例报告[J].中国微创外科杂志,2008,8(1):35-36. |
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| 作者姓名： | 范育林 龚仁华 徐正涛 李勇 何新苗 蔡军 刘其春 徐义仁 |
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| 作者单位： | 武警安徽总队医院南区普外科,合肥,230061 |
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| 摘 要： | 目的探讨腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)中意外胆囊癌的诊治方法。方法对2000年1月~2007年5月我院15560例LC中28例意外胆囊癌(unsuspected gallbladder carcinoma,UGC)的临床资料进行回顾性分析。结果术中发现12例和术后发现16例中的5例行胆囊癌根治术,而仅行LC11例。术后病理TNM分期:Ⅰ期3例,Ⅱ期23例,Ⅲ期2例。28例术后随访7~66个月,平均22个月,死亡19例,其中接受胆囊癌根治手术的17例术后1、3、5年的存活率分别为76.5%(13/17)、23.5%(4/17)、11.8%(2/17);而仅行LC的11例术后1年生存率为45.4%,无存活超过2年。结论对高危人群,术中应高度警惕意外胆囊癌的发生,LC意外发现的胆囊癌多为早期,对早期胆囊癌应行标准胆囊癌根治术,仅行单纯的LC是不够的。
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| 关 键 词： | 腹腔镜胆囊切除 意外胆囊癌 |
| 文章编号： | 1009-6604(2008)01-0035-02 |
| 修稿时间： | 2007年6月29日 |
Unsuspected Gallbladder Carcinoma Discovered during Laparoscopic Cholecystectomy: Report of 28 Cases |
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| Fan Yulin,Gong Renhua,Xu Zhengtao,et al..Unsuspected Gallbladder Carcinoma Discovered during Laparoscopic Cholecystectomy: Report of 28 Cases[J].Chinese Journal of Minimally Invasive Surgery,2008,8(1):35-36. |
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| Authors: | Fan Yulin Gong Renhua Xu Zhengtao |
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| Institution: | Fan Yulin,Gong Renhua,Xu Zhengtao,et al. Department of General Surgery,Hospital of Anhui Corps of Chinese Armed Police Forces,Hefei 230061,China |
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| Abstract: | Objective To explore the management of unsuspected gallbladder carcinoma (UGC) discovered during laparoscopic cholecystectomy (LC). Methods From January 2000 to May 2007, 15 560 cases of LC were performed in our hospital, UGC was discovered in 28 of the cases. Clinical data of the 28 patients were analyzed retrospectively. Results Among the 28 cases of UGC, 12 were discovered intraoperatively, and 16 were diagnosed postoperatively.Radical cholecystectomy was performed on the 12 cases who were detected durin... |
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| Keywords: | Laparoscopic cholecystectomy Unsuspected gallbladder carcinoma |
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