关键词: 胆囊癌, 手术, 质量控制

Abstract:

Quality control of surgeries for gallbladder carcinom                 WANG Jie，XU Jun-yao, JIANG Hai. Department of Hepatobiliary Surgery,Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120,China
Corresponding author:WANG Jie, E-mail:sumsjw@163.com
Abstract    Radical resection controlled by surgeons is the most effective therapeutic option for patients with gallbladder cancer.  The ultimate goal of surgery is to achieve R0 resection, which means negative resection margins as well as the definite clearance of potentially metastatic lymph nodes.  A quality control system should be established to grantee the imperial  role of radical resection on long term outcome, which may include several parts: 1.  To classify the patients into an appropriate TNM stage(AJCC 7th) with comprehensively preoperative examinations, 2. To set up the surgical plan based on the  amended TNM staging , with the combination of  intraoperative exploration and pathological finding, 3. To standardize the surgical procedure with the guidance of oncological rules, 4. To standardize the management  of specimens and postoperative follow-up of patients. Moreover, rapid development of laparoscopic techniques has warranted the possibility of minimally invasive gallbladder carcinoma radical operation. And emerging technology on intraoperative visualization will undoubtedly promote the process of precision surgery for the treatment of gallbladder cancer.

Key words: gallbladder cancer, surgery, quality control.