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目的:探讨胃癌合并胆总管结石的治疗方法。方法:对东南大学医学院附属江阴医院近5 a来收治的5例胃癌合并胆总管结石的患者的临床资料进行回顾性分析,探讨治疗方法的选择。结果:病理结果:腺癌4例,低分化腺癌1例。病理分期:Ⅰa 1例,Ⅱ1例,Ⅲa 3例。结论:我们认为胃癌合并胆总管结石时,行胃癌根治术的同时胆总管切开取石术是目前较为安全有效的方法,而随着ERCP、EST技术的日臻完善,术前取石有可能会成为首选方法。
Objective: To investigate the treatment of gastric cancer complicated with common bile duct stones. Methods: The clinical data of 5 patients with gastric cancer with choledocholithiasis admitted to Jiangyin Hospital Affiliated to School of Medicine of Southeast University in the past 5 years were retrospectively analyzed to explore the choice of treatment methods. Results: Pathological findings: adenocarcinoma in 4 cases, poorly differentiated adenocarcinoma in 1 case. Pathological stage: Ⅰ a case, Ⅱ 1 cases, Ⅲ a 3 cases. Conclusions: We think that simultaneous radical mastectomy and choledocholithotomy are the most safe and effective methods for gastric cancer with choledocholithiasis. With the improvement of ERCP and EST, preoperative stone extraction may become the first choice method.