期刊文献+

胆囊癌的综合治疗 被引量:2

Combined therapy of gallbladder carcinoma
原文传递
导出
摘要 原发性胆囊癌是胆道系统中占首位的恶性肿瘤,预后差,5年存活率低,仅为5%~13%,手术切除是治愈胆囊癌的最有效方法,胆囊癌外科手术方式的选择主要取决于病人的一般情况、肿瘤局部病变情况和胆囊癌的分期,目前早期胆囊癌Nevin Ⅰ期行单纯胆囊切除术,Ⅱ~Ⅴ期胆囊癌多需扩大切除范围包括肝脏、胆囊床切除,以及清扫包括胆囊三角淋巴结及周围的区域淋巴结,化疗、放疗均能有效延长病人生存期。 The primary gallbladder carcinoma is the most common malignant tumors in the biliary system, which has poor prognosis with 5%-13% actuarial survival at 5 years. Resection is the certain means for patients with gallbladder carcinoma. The decision about the type of resection to be performed should be mostly based on patients' status, tumor characteristics and Nevin stage. The early gallbladder carcinoma with Nevin Ⅰ stage only need simple cholecystectomy. A more aggressive surgical approach, including resection of the liver, gallbladder bed and regional lymph nodes is advisable for patients with Nevin Ⅱ to Ⅴ tumors. Chemotherapy and radiation treatment are valid to orolong survival.
作者 罗蒙 徐庆
出处 《中国实用外科杂志》 CSCD 北大核心 2011年第3期212-215,共4页 Chinese Journal of Practical Surgery
关键词 胆囊癌 综合治疗 gallbladder carcinoma combined therapy
  • 相关文献

参考文献23

  • 1Maluenda F, Diaz JC, Areexabala X. Straledies for the surgical treatment of gallbladder cancer [J]. Rev Med Chil, 2005,133(6):723-728.
  • 2You DD, Lee HG, Paik KY, et al. What is an adequate extent of resection for TI gallbladder cancers? [J]. Ann Surg, 2008, 247(5): 835-838.
  • 3Lee KF, Wong J, Li JC, et al. Polypoid lesions of the gallbladder [J]. Am J Surg, 2004,188(2):186-190.
  • 4Toyonaga T, Chijiiwa K, Nakano K, et al. Completion radical surgery after cholecystectomy for accidentally undiagnosed gallbladder carcinoma[J]. World J Surg, 2003,27(3):266-271.
  • 5Wakai T, Shirai Y, Hatskcysma K. Radical second resection provides survival bcncfil for patients with T2 gallbladder carcinoma first discovered after laparoscopic cholecystectomy [J]. World J Surg, 2002(7):867-871.
  • 6Jacobi CA, Sabat R, Bohm B, et al. Pneumoperitoneum with carbon dioxide stimulates growth of malignant colonic cells[J]. Surgery, 1997,121(1):72-78.
  • 7Z'graggen K, Birrer S, Maurer CA, et al. Incidence of port site recurrence after laparoscopic cholecysteclomy for preoperatively unsuspected gallbladder carcinoma [J]. Surgery, 1998,124(5):831-838.
  • 8Wakai T, Shirai Y, Yokohama N, el al. Early gallbladder carcinoma does not warrant radical resection [J]. Br J Surg, 2001,88(5):675-678.
  • 9Chart KM, Yeh TS, Yu MC, et ah Gallbladder carcinoma with biliarT invasion: clinical analysis of the differences from nonbiliary invasion[J]. World J Surg, 2005, 29(1): 72-75.
  • 10窦科峰,陶开山.胆囊癌扩大根治的联合脏器切除问题[J].中国实用外科杂志,2005,25(8):458-460. 被引量:13

二级参考文献8

共引文献19

同被引文献18

引证文献2

二级引证文献3

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部