中国实用外科杂志

中国实用外科杂志

• 普通外科进展 • 上一篇    下一篇

胆囊息肉及胆囊结石与胆囊癌的争议与共识

刘厚宝，王越琦   

  1. 复旦大学附属中山医院普外科，上海200032
  • 出版日期:2014-01-01 发布日期:2013-12-27

  • Online:2014-01-01 Published:2013-12-27

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摘要：

胆囊癌是最常见的胆道恶性肿瘤，预后很差。早期诊断和治疗是改善预后的惟一手段。胆囊息肉和胆囊结石是其重要的危险因素，且胆囊息肉的手术指征已达成共识。然而，胆囊腺肌症是否癌变、T1b期胆囊癌的手术方式、无症状胆囊结石病人是否需要手术及腹腔镜保胆取石，仍存有争议。随着循证医学的发展，这些争议会逐步达成新的共识。

关键词: 胆囊癌, 胆囊息肉, 胆囊结石

Abstract:

The controversy and consensus between gallbladder polyps、gallstones and gallbladder cancer      LIU  Hou-bao,WANG Yue-qi. Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China
Corresponding author: LIU Hou-bao, E-mail:liu.houbao@zs-hospital.sh.cn
Abstract    Gallbladder cancer(GBC) is the most common biliary tract malignancy with an extremely poor prognosis. Early detection and therapy are the most effective tools to improve the prognosis. Gallbladder polyps and gallstones are the accepted risk factors of GBC, and the operation indication of the former is established. However, there are several arguments, such as: whether the gallbladder adenomyomatosis would be malignancy; how to treat with GBC of T1b stage; whether the asymptomatic patients of gallstones should accept operative treatment; is the miniature of take stone in protect gallbladder a reliable and have positive value method?  These points will change into some common views with the development of evidence based medicine in future.

Key words: gallbladder cancer, gallbladder polyp, gallstone