【摘 要】
：
目的探讨胆囊切除术后病理证实胆囊癌的治疗方法的选择.方法总结我院过去二十年来经手术治疗的术后病理证实的胆囊癌32例的手术治疗方式.结果单纯胆囊切除术或扩大根治切除术
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目的探讨胆囊切除术后病理证实胆囊癌的治疗方法的选择.方法总结我院过去二十年来经手术治疗的术后病理证实的胆囊癌32例的手术治疗方式.结果单纯胆囊切除术或扩大根治切除术后1年生存28例,2～3年生存2例,3～4年生存1例,5年生存为0.结论早期胆囊癌可行单纯胆囊切除或连同胆囊床外1～2cm的肝组织切除;中晚期胆囊癌,应行胆囊癌根治术;若单纯胆囊切除手术后经病理发现为中期以上胆囊癌,应再行手术以扩大切除范围;一旦有相关的胆囊症状者早期行胆囊切除以预防胆囊癌变.
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