论文部分内容阅读
目的:探讨腹腔镜胆囊切除术治疗中发现胆囊癌与再次行胆囊癌根治术对预后的影响。方法:19例Lc术意外胆囊癌患者再次进行胆囊癌根治术,与一起进行的开腹一期根治手术的20例胆囊癌患者加以对比,LAN-迈耶K密封方法用于分析两组的生存率。结果:Lc组和开腹手术的1、3、5年生存率分别为100%,67%,67%,100%,84%,60%,两组生存时间无显著统计学差异(x2=0.017年,树脂=0.904)。3例浸润层深度的胆囊黏膜T1a阶段胆囊Lc治疗后生存超过6年。3例腹腔镜胆囊根治手术患者随访6~12个月,无病生存。结论:注意避免手术中溢出的胆汁标本收集,应用程序取出袋无病适当等保护措施,及时、行胆囊激进的发展不会影响胆囊的预后Ta阶段胆囊行Lc可以获得令人满意的长期生存。
Objective: To investigate the effect of gallbladder carcinoma and recurrent gallbladder carcinoma on prognosis in laparoscopic cholecystectomy. METHODS: Twenty-nine patients undergoing LCP surgery with gallbladder cancer underwent radical gastrectomy for gallbladder cancer were compared with 20 patients with gallbladder cancer undergoing open radical surgery. The LAN-Meyer K seal method was used to analyze the survival of both groups rate. Results: The 1, 3, 5-year survival rates of Lc group and laparotomy group were 100%, 67%, 67%, 100%, 84% and 60% respectively. There was no significant difference between the two groups Year, resin = 0.904). 3 cases of gallbladder mucosa depth of invasion of gallbladder T1a gallbladder Lc survival after more than 6 years. Three cases of laparoscopic radical gastrectomy patients were followed up for 6 to 12 months, disease-free survival. CONCLUSIONS: Care should be taken to avoid the collection of spilled bile samples during surgical procedures and to take appropriate protective measures such as removing bags from the application. In a timely manner, aggressive gallbladder development will not affect the prognosis of the gallbladder. In the Ta stage, Lc can achieve satisfactory long-term survival.