期刊文献+

胆囊癌手术方式的合理选择 被引量:20

Selection of surgical procedures for gallbladder cancer
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摘要 20世纪80年代,日本率先提倡的胆囊癌扩大根治术以及LC的广泛开展是影响胆囊癌治疗的两大里程碑事件.胆囊癌扩大根治术使患者的5年生存率有了明显提高,5年生存率可达到65%,改变了既往胆囊癌5年生存率低于5%的悲观局面[1]. Radical resection is still the only possible cure for gallbladder cancer nowadays. Rational procedures vary according to different TNM stages, locations and biological behavior of tumor. Diagnostic laparoscopic exploration offers the opportunity to identify peritoneal metastasis which may be negative on preoperative radiological findings. Besides, this can also minimize trauma to abdomen. Therefore, laparoscopic exploration is suggested in cases highly suspected of peritoneal metastasis. For incidental gallbladder cancer, radical surgery should be performed because of positive margin of cystic duct, inadequate trocar management or advanced tumor stages. Timing for reoperation is still controversial. Most scholars recommended that it should be proceed within two months after the first surgery.
出处 《中华消化外科杂志》 CAS CSCD 2011年第2期87-90,共4页 Chinese Journal of Digestive Surgery
关键词 胆囊肿瘤 手术方式 腹腔镜检查 Gallbladder neoplasms Surgical procedures Laparoscopy
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参考文献26

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二级参考文献26

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