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胆囊癌是一种致死性很高的疾病,因其可侵犯周围重要脏器,可切除率低.因胆囊结石行胆囊切除术,偶尔可发现早期胆囊癌,这类病人可长期存活.因诊断技术的改进,术前确诊为胆囊癌的病例日趋增多.当肿瘤尚未突破肌层时,单纯胆囊切除术即可达到治疗目的.对已扩散的胆囊癌则应行扩大的胆囊切除术:完全的胆囊切除术、胆囊床楔形肝切除术、局部淋巴结清除术.作者报道227例胆囊癌,其中158例行切除术,66例为扩大胆囊切除术.根据有无淋巴结转移、侵犯被膜、腹膜种植、肝转移、侵犯肝脏和胆管等,胆囊癌分为4期.根据大体形态特征分为8型:乳头型、结节型、乳头侵犯型、结节侵犯型、侵犯型、填充型、巨块型和特殊型.
Gallbladder cancer is a highly lethal disease because it can invade vital organs around, and its resection rate is low. Gallbladder stones are used for cholecystectomy. Occasionally early gallbladder cancer can be found. Such patients can survive for a long time. Improvements in technology have led to an increase in cases of gallbladder cancer diagnosed preoperatively. When the tumor has not yet broken through the muscularis, simple cholecystectomy can achieve therapeutic goals. Expanded cholecystectomy should be performed for diffused gallbladder cancer: Complete Cholecystectomy, wedge-shaped wedge hepatectomy of the gallbladder bed, and regional lymphadenectomy. The authors reported 227 cases of gallbladder carcinoma, of which 158 cases underwent resection and 66 cases underwent extensive cholecystectomy. Lymph node metastasis, invasion of the capsule, peritoneal implantation, Liver metastases, liver and bile duct invasion, gallbladder cancer is divided into 4 phases. According to the general morphological characteristics are divided into 8 types: papillary, nodular, nipple invasion type, nodules invading, invading, filling type, massive type And special type.