中国实用外科杂志
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殷晓煜
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胆囊切除术术中及术后意外胆囊癌是指术前诊断为胆囊良性疾病而行胆囊切除术,在术中或术后病理检查发现胆囊癌者,其发生率为0.25%~3.00%,在胆囊癌高发区更为常见。由于胆囊癌恶性程度高、进展迅速,对胆囊切除术术中及术后意外胆囊癌的处理正确与否至关重要,它直接影响着病人的远期疗效。目前对术中及术后意外胆囊癌的处理尚缺乏统一的规范,有些方面尚存在一定的争议。
关键词: 意外胆囊癌, 胆囊切除术, 胆囊息肉, 慢性胆囊炎
Abstract:
Managements for the incidental gallbladder carcinoma during or after cholecystectomy YIN Xiao-yu. Department of Pancreatobiliary Surgery,the First Affiliated Hospital,Sun Yat-Sen University,Guangzhou 510080,China Abstract The incidental gallbladder carcinoma during or after cholecystectomy is referred as to gallbladder carcinoma confirmed by pathological examinations of the excised gallbladder specimens which is considered as benign gallbladder lesions preoperatively. Its incidence is ranged from 0.25% to 3.00%,and it is more common in the area with high prevalence of gallbladder carcinoma. Gallbladder carcinoma progresses rapidly and has a poor prognosis. Optimal management for the incidental gallbladder carcinoma during or after cholecystectomy plays pivotal roles in determining patients’ long-term prognosis. Currently,there still lack of the generally-accepted standard managements for the incidental gallbladder carcinoma during or after cholecystectomy,and exist controversies in some aspects.
Key words: incidental gallbladder carcinoma, cholecystectomy, gallbladder polyps, chronic cholecystitis
殷晓煜. 胆囊切除术中及术后意外胆囊癌的处理[J]. 中国实用外科杂志, DOI: 10.7504/CJPS.ISSN1005-2208.2015.09.09.
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https://www.zgsyz.com/zgsywk/CN/Y2015/V35/I09/942