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目的:探讨腹腔镜胆囊切除术(LC)中意外胆囊癌(unsuspected gallbladder carcinoma,UGC)的处理及预后。方法:回顾分析如皋市人民医院2005-08/2008-12 LC 200例,发现意外胆囊癌3例的临床资料。结果:单纯腹腔镜胆囊切除1例,随访11个月至今存活;LC中转开腹1例,行根治术后随访2 a至今存活。LC术后二次手术者1例,根治术后3个月发生腹腔并切口转移,再行姑息手术2个月后死亡。结论:早期警惕,及时根治切除是延长UGC患者术后生存期及减少切口转移的关键。
Objective: To investigate the treatment and prognosis of unsuspected gallbladder carcinoma (UGC) in laparoscopic cholecystectomy (LC). Methods: A retrospective analysis of Rugao People’s Hospital 2005-2008-12 LC 200 cases, found in 3 cases of unexpected gallbladder cancer clinical data. Results: Laparoscopic cholecystectomy was performed in only one case and survived for 11 months until follow-up. One case underwent LC laparotomy and survived 2 years after radical surgery. One patient underwent secondary surgery after LC surgery. The abdominal cavity and incision metastasis occurred 3 months after radical operation and died after 2 months of palliative surgery. Conclusion: Early vigilance and prompt radical resection are the key to prolong postoperative survival and reduce incision metastasis in UGC patients.