摘要
目的总结中晚期胆囊癌的诊断和外科治疗经验。方法对86例中晚期胆囊癌的诊断、病理及外科治疗进行回顾性分析,术后随访2年。结果本组86例中,失访14例,Nevin分期Ⅲ期24例,Ⅳ期27例,行根治性切除47例,平均生存期22月;Ⅴ期35例,其中16例行根治性切除及扩大胆囊癌根治性切除,平均生存期13月;Ⅳ～Ⅴ期19例行姑息性手术,平均生存期7月;4例行活检手术平均生存期3月。结论积极手术治疗能改善患者生存质量,是延长生存期的有效措施。
Objective To summerize the experience for the diagnosis treatment of advanced gallbladder carcinoma. Methods The clinical data of 86 patients with advanced gallbladder carcinoma surgically treated in our hospital from 1998 to 2002 were retrospectively analyzed. Rresults Total of 47 cases with Nevin's stageⅢ～Ⅳ advanced gallbladder carcinoma received radical resection, the average survival time was 22 months ;16 patients of Nevin's stage Ⅴ received radical resection or extended radical resection, the postoperative survival time was 13 months ;19 patients of Nevin's stageⅣ～ Ⅴ received palliative surgical management had survival of 8 months;4 cases with Nevin's stage Ⅴ underwent a mere laparotomy average survival time 3 months. Conclusion Aggresive surgical management could help to prolong the survival time and improve the life quality of patients with advanced gallbladder carcinoma.
出处
《现代肿瘤医学》
CAS
2005年第4期514-515,共2页
Journal of Modern Oncology
关键词
胆囊癌
外科治疗
预后
gallbladder carcinoma
surgery treatment
prognosis
