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根治性切除术是胆囊癌惟一有希望获得治愈的手段。对于肿瘤已侵犯肝外胆管者,为了获得根治性切除必须联合肝外胆管切除。但是,对于肝外胆管未受肿瘤侵犯者,是否需要常规联合肝外胆管切除目前尚存在争议。虽然联合肝外胆管切除有助于区域淋巴结清扫及清除一些潜在的隐匿肿瘤细胞,但其一方面会增加手术风险及术后并发症发生率,另一方面对病人远期生存获益尚未确定。
Radical resection is the only hope of cure for gallbladder cancer. For tumors that have been extrahepatic bile duct, in order to obtain a radical resection must be combined with extrahepatic bile duct resection. However, it remains controversial whether extrahepatic bile duct resection is needed for extrahepatic bile duct patients who are not affected by tumors. Although combined with extrahepatic bile duct resection is helpful for regional lymph node dissection and clearance of some potential occult tumor cells, it will increase the risk of surgery and the incidence of postoperative complications on the one hand, and on the other hand, the long-term survival benefit has not been determined.