论文部分内容阅读
目的探讨原发性胆囊癌(PCG)的诊断与治疗方法。方法回顾性分析我院普外科2000年1月至2006年12月经手术治疗的77例PCG的临床资料,并随访其生存情况。结果本组Ⅰa期3例,Ⅰb期7例,Ⅱ期2例,Ⅲ期19例,Ⅳa期7例,Ⅳb期39例;根治性切除38例(49.4%),其中扩大根治手术14例(18.2%),各种姑息手术39例(50.6%);术后并发症发生率为7.8%(6/77),围手术期死亡率为1.3%(1/77);随访,Ⅰ期均长期存活,对中晚期患者,根治性手术生存时间明显长于姑息手术。结论PCG早期诊断是提高生存率的关键,标准的根治性手术是PCG最有效的治疗方法。
Objective To investigate the diagnosis and treatment of primary gallbladder cancer (PCG). Methods The clinical data of 77 patients with PCG who underwent surgical treatment from January 2000 to December 2006 in our hospital were analyzed retrospectively. Their survival was followed up. Results There were 3 cases in stage Ⅰa, 7 cases in stage Ⅰb, 2 cases in stage Ⅱ, 19 cases in stage Ⅲ, 7 cases in stage Ⅳa, 39 cases in stage Ⅳb, and radical resection in 38 cases (49.4% 18.2%), all kinds of palliative surgery in 39 cases (50.6%), postoperative complications rate was 7.8% (6/77) and perioperative mortality rate was 1.3% (1/77) Survival, in patients with advanced disease, radical surgery survival time was significantly longer than palliative surgery. Conclusion The early diagnosis of PCG is the key to improve the survival rate. The standard radical operation is the most effective treatment for PCG.