[1]范育林,龚仁华,徐正涛,等.腹腔镜胆囊切除术意外胆囊癌28例报告[J].中国微创外科杂志,2008,08(1):35-36.
　Fan Yulin,Gong Renhua,Xu Zhengtao,et al.Unsuspected Gallbladder Carcinoma Discovered during Laparoscopic Cholecystectomy: Report of 28 Cases[J].Chinese Journal of Minimally Invasive Surgery,2008,08(1):35-36.
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腹腔镜胆囊切除术意外胆囊癌28例报告()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
08
期数:
2008年1期
页码:
35-36
栏目:
出版日期:
2008-10-22

文章信息/Info

Title:
Unsuspected Gallbladder Carcinoma Discovered during Laparoscopic Cholecystectomy: Report of 28 Cases
作者:
范育林; 龚仁华; 徐正涛; 李勇; 何新苗; 蔡军; 刘其春; 徐义仁
武警安徽总队医院南区普外科,合肥230061
Author(s):
Fan Yulin;  Gong Renhua;  Xu Zhengtao;  et al.
Department of General Surgery, Hospital of Anhui Corps of Chinese Armed Police Forces, Hefei 230061, China
关键词:
腹腔镜胆囊切除; 意外胆囊癌
Keywords:
Laparoscopic cholecystectomy; Unsuspected gallbladder carcinoma
分类号:
R735.8
文献标志码:
A
摘要:
目的探讨腹腔镜胆囊切除术（laparoscopic cholecystectomy，LC）中意外胆囊癌的诊治方法。方法对2000年1月~2007年5月我院15 560例LC中28例意外胆囊癌（unsuspected gallbladder carcinoma， UGC）的临床资料进行回顾性分析。结果术中发现12例和术后发现16例中的5例行胆囊癌根治术，而仅行LC 11例。术后病理TNM分期：Ⅰ期3例，Ⅱ期23例，Ⅲ期2例。28例术后随访7~66个月，平均22个月，死亡19例，其中接受胆囊癌根治手术的17例术后1、3、5年的存活率分别为76.5%（13/17）、23.5%（4/17）、11.8%（2/17）；而仅行LC的11例术后1年生存率为45.4%，无存活超过2年。结论对高危人群，术中应高度警惕意外胆囊癌的发生，LC意外发现的胆囊癌多为早期，对早期胆囊癌应行标准胆囊癌根治术，仅行单纯的LC是不够的。
Abstract:
ObjectiveTo explore the management of unsuspected gallbladder carcinoma (UGC) discovered during laparoscopic cholecystectomy (LC).MethodsFrom January 2000 to May 2007, 15 560 cases of LC were performed in our hospital, UGC was discovered in 28 of the cases. Clinical data of the 28 patients were analyzed retrospectively.ResultsAmong the 28 cases of UGC, 12 were discovered intraoperatively, and 16 were diagnosed postoperatively.Radical cholecystectomy was performed on the 12 cases who were detected during the operation,and 5 of the 16 patients who were diagnosed after the operation.LC was carried out in the remaining 11 cases. Postoperative pathological examination showed TNM stageⅠin 3 cases, stageⅡin 23, and stage Ⅲ in 2. The patients were followed up for 7-66 months with a mean of 22 months. During the period, 19 patients died. The 1, 3, and 5year survival rate of the 17 patients who received radical cholecystectomy were 76.5% (13/17), 23.5% (4/17), and 11.8% (2/17), respectively. Whereas, in the 11 patients who underwent LC, the 1year survival rate was 45.4%; moreover, none of the 11 survived for more than 2 years. ConclusionsFor highrisk population, attention should be paid to UGC during operation. Most of the UGCs discovered during LC are earlystage carcinomas, which should be treated with standard radical cholecystectomy, but not LC.

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更新日期/Last Update: 2013-10-22