摘要
目的意外胆囊癌的早期诊断和治疗,目前仍是一个难点,本文就此问题进行探讨。方法对我院1996年2月至2006年2月16例意外胆囊癌的患者进行回顾性分析。结果本组16例,术前诊断慢性结石性胆囊炎症15例,胆囊息肉类1例。开腹胆囊切除术11例,行腹腔镜胆囊切除术5例。术中冰冻切片或术后病理均证实为早期胆囊癌。术中冰冻切片证实7例,术后病理确诊8例。全组16例,均行根治性切除。结论意外胆囊癌术前诊断困难,术中快速冰冻切片检查是意外胆囊癌诊断的重要依据,可以避免日后再次麻醉手术。而尽快实施手术治疗,并力求根治性切除是其治疗原则。
Objective To investigate the early diagnosis of incidental gallbladder carcinoma. Methods The clinical data of 16 patients with gallbladder carcinoma incidentally treated in our hospital from February 1996 to February 2005 were retrospectively analyzed. Results Sixteen cases were incidentally found by operation, of which 11 were found in open cholecystectomy and 5 in laparoscopic cholecystectomy. All 7 cases were confirmed as early gallbladder carcinoma （Nevin Ⅱ stage） by frozen section examination during operation or pathological examination after operation. Seven cases received radical resection immediately and 9 underwent second resection. Conclusion It is difficult to diagnose early gallbladder carcinoma before operation. Frozen section examination should be performed for suspected lesions, which contribute a lot to the early diagnosis of incidental gallbladder carcinoma. Radical resection should be performed immediately once the diagnosis is confirmed.
出处
《同济大学学报（医学版）》
CAS
2007年第4期94-96,共3页
Journal of Tongji University(Medical Science)
