原发性胆囊癌的诊治分析（附36例报告）

目的探讨原发性胆囊癌（PCG）的诊断与治疗方法。方法回顾性分析我院2001年7月至2008年7月经手术治疗的36例原发性胆囊癌病人的临床资料。结果本组Ⅰ期4例，Ⅱ期4例，Ⅲ期5例，Ⅳ期7例，Ⅴ期16例；根治性切除22例（61．1％），其中扩大根治手术6例（16．7％），各种姑息手术10例（27．8％），另有4例仅行活检术；术后并发症发生率为19．4％（7／36），围手术期死亡率为2．8％（1／36）。结论胆囊癌早期诊断是提高生存率的关键。手术切除仍是最有效的治疗方法，切除可获得较高生存率。对局部进展的中晚期患者，积极进行扩大根治术有望提高生活质量及延长生存时间。

Diagnosis and treatment of carcinoma of gallbladder (A report of 36 cases)

Objective To investigate the diagnosis and treatment of primary carcinoma of gallbladder （PCG）. Methods From July 2001 to July 2008, the clinical data of 36 cases with PCG received operative treatment were retrospectively analyzed. Results In this group, stages Ⅰ , Ⅱ, Ⅲ, Ⅳ and Ⅴ were in 4,4,5,7 and 16 cases respectively. Twenty-two cases （61.1%） were treated with radical resection, including 6 cases （16.7%） with extended radical surgery, 10 cases （27.8%） were treated with all kinds of palliative surgery. Only biopsy was performed in 4 cases. The rates of postoperative complications were 19.4 % （7/36）,while perioperative mortality was 2.8%（1/36）. Conclusion The early diagnosis of carcinoma of gallbladder is the key to raise survival rate, and the operation is the most of effective therapeutic method. For the patients with local advanced disease, extended resection may helpful to prolong the survival time.