中国实用外科杂志

中国实用外科杂志

• 专题笔谈 • 上一篇    下一篇

胆囊癌行扩大根治术的应用价值及争议

姜小清1，胡明泰2，王敬晗2   

  1. 1海军军医大学第三附属医院（上海东方肝胆外科医院）胆道一科，上海 200433；2上海市东方医院（同济大学附属东方医院）肝胆胰外科   同济大学医学院肝胆胰外科研究所，上海200120
  • 出版日期:2023-11-01

  • Online:2023-11-01

摘要： 根治性手术联合淋巴结清扫是胆囊癌唯一可能被治愈的方式，手术方案根据胆囊癌分期而定，但手术切除术范围、淋巴结清扫范围等方面仍存在不少争议。进展期胆囊癌行扩大根治术并不能使病人获得令人满意的生存获益，需要谨慎对待。以根治性手术为基础的综合治疗才有可能最大程度地改善胆囊癌病人的预后。

关键词: 胆囊癌, 扩大根治术, 淋巴结转移, 综合治疗, 预后

Abstract: Application value and controversy of extended radical surgery for gallbladder cancer        JIANG Xiao-qing*, HU Ming-tai, WANG Jing-han. *Department of Biliary Tract Surgery Ⅰ, Third Affiliated Hospital of Naval Medical University(Shanghai Eastern Hepatobiliary Surgery Hospital ),Shanghai 200433, China
Corresponding author: JIANG Xiao-qing, E-mail:jxq1225@
VIP.sina.cn
Abstract    Surgical resection associated with lymphadenectomy is the only chance to cure gallbladder cancer, the specific surgical plan is based on the staging, but several aspects of surgical management are controversial, including operative extent, and lymphadenectomy extent. Extended radical resection for advanced gallbladder cancer does not provide satisfactory survival benefits for patients and should be treated with caution. The comprehensive treatment based on radical resection is likely to improve the prognosis of gallbladder cancer patients to the greatest extent.

Key words: gallbladder cancer, extended radical surgery, lymph node metastasis, comprehensive treatment, prognosis