| 晚期胆囊癌的手术治疗（附40例报告） |
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| 引用本文： | 严律南,周涌.晚期胆囊癌的手术治疗（附40例报告）[J].中华外科杂志,1997,35(5):277-278. |
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| 作者姓名： | 严律南 周涌 |
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| 作者单位： | 华西医科大学附属第一医院肝胆胰外科 |
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| 摘 要： | 为提高晚期胆囊癌的手术切除率及生存率，作者对１９８９年５月至１９９５年１２月手术治疗的４０例晚期胆囊癌患者进行了回顾性分析，其中３４例伴有阻塞性黄疸，８例扪及腹部包块。作者对已浸润周围器官及胆管、但尚无肝脏广泛转移或远处转移的１１例晚期胆囊癌进行了扩大根治术（其中３例合并胰十二指肠切除术）。该１１例术后存活８～３２个月。１、２年生存率分别为５４．５％及２７．３％。对另２９例已有肝脏转移或腹膜种植转移的晚期胆囊癌仅行姑息性手术，术后随访均于１年内死亡。作者认为晚期胆囊癌治疗应行扩大根治术。
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| 关 键 词： | 胆囊肿瘤 胆道外科手术 预后 |
Surgical treatment for advanced gallbladder cancer |
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| Yan Lunan,Zhou Yong,Jin Liren,et al..Surgical treatment for advanced gallbladder cancer[J].Chinese Journal of Surgery,1997,35(5):277-278. |
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| Authors: | Yan Lunan Zhou Yong Jin Liren |
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| Institution: | Department of Surgery, First University Hospital, West China University of Medical Sciences, Chengdu. |
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| Abstract: | To rise the resection rate and survival rate for advanced gallbladder cancer (GBC), we operated on forty cases of advanced GBC. 34 cases had obstractive jundice, and 8 palpable obdominal mass. Externded radical cholecystectomy was performed in 11 cases of advanced GBC in which the tumor invaded the surrounding organs or tissues but without distantce metastasis.Follow up showed that the survival period was between 8 and 32 months (average 18 8 months),1 and 2 years survival rates were 54 4% and 27 3%. Palliative operations were performed in other 29 advanced GBC cases of distant metastasis. All of the cases died within one year. We suggest that extended radical cholecystectomy is effective for advanced GBC. |
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| Keywords: | Gallbladder neoplasms Biliary tract surgery Prognosis |
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