腹腔镜胆囊癌根治四例分析

目的 探讨腹腔镜胆囊癌根治术的可行性与有效性.方法 回顾分析4例腹腔镜胆囊癌根治术患者的一般资料、病理分期、手术过程、术后恢复及随访结果.结果 4例患者均顺利完成腹腔镜下胆囊癌根治术,无术中死亡及术后并发症发生.2例患者分别于术后17及40个月死亡,2例存活.4例患者均未出现戳口周围及腹腔转移.结论 腹腔镜胆囊癌根治术在技术上是安全可行的,但其远期疗效仍有待于大宗病例长期随访及一系列前瞻性研究进一步论证.

Laparoscopic radical resection for gallbladder carcinoma

Objective To evaluate the feasibility and efficacy of laparoscopic radical resection of gallbladder carcinoma.Methods The clinical feature,pathological stage,surgical procedure,postoperative recovery and follow-up results of 4 patients undergoing laparoscopic radical resection of gallbladder carcinoma were retrospectively analyzed.Results A total of 4 cases were successfully performed.No operative deaths and complications happende.Two patients died of recurrence at 17 and 40 months respectively.There were no port-site and abdominal wall metastases occurred.Conclusion Laparoseopic radical resection of gallbladder carcinoma is a safe and feasible procedure on basis of technique.Nonetheless prospective randomization study with a greater number of cases and a longer follow-up will be needed to evalut the long-term results of it.