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目的探讨胆囊癌的治疗经验及体会,以提高胆囊癌的手术治疗效果。方法对我院2001年10月至2009年12月近8年来行手术治疗胆囊癌共36例的临床资料作一回顾性分析。结果①单纯胆囊切除术,皆为Ⅰ期6例;②胆囊癌根治性手术共13例;③胆囊癌姑息性手术共8例,其中Ⅱ期4例,Ⅲ期3例,Ⅳ期1例;④对症手术(胆道内、外引流术包括支架放置,各种胃肠吻合术)共5例;⑤剖腹探查及活检共4例,其中Ⅲ期2例,Ⅳ期2例。结论对Ⅰ-Ⅱ期患者行单纯胆囊切除即可达到治疗目的,而对Ⅲ、Ⅳ期患者则应行胆囊癌根治术。对晚期患者可行姑息性切除,并可根据病情行脏器联合切除。
Objective To explore the experience and experience of gallbladder cancer in order to improve the surgical treatment of gallbladder cancer. Methods A retrospective analysis was performed on the clinical data of 36 cases of gallbladder carcinoma undergoing surgery in our hospital from October 2001 to December 2009 in the recent 8 years. Results ① cholecystectomy, all of which were stage Ⅰ in 6 cases; ② radical surgery of gallbladder in 13 cases; ③ gallbladder cancer in 8 cases, including 4 cases of stage Ⅱ, 3 cases of stage Ⅲ, 1 case of stage Ⅳ; ④ symptomatic surgery (biliary, external drainage, including stent placement, various gastrointestinal anastomosis) a total of 5 cases; ⑤ laparotomy and biopsy in 4 cases, including 3 cases in 2 cases, 2 cases in stage IV. Conclusions Patients with stage Ⅰ-Ⅱ can be treated with simple cholecystectomy, while radical resections of gallbladder carcinoma should be performed in stage Ⅲ and Ⅳ. Pessimistic resection of advanced patients feasible, and under the condition of organs combined resection.