摘要
目的:探讨不同处理方式对腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)后意外胆囊癌(incidental gallbladder cancer,IGBCA)预后的影响。方法:回顾分析LC术后22例IGBCA患者的临床资料。结果:根治性手术患者15例,3年生存率46.67%,5年生存率26.67%;姑息性手术患者7例,3年生存率14.29%,5年生存率为0。根治性手术患者生存时间明显长于姑息性手术患者,平均生存时间(56.19±6.61)个月vs.(26.20±5.19)个月(χ2=5.290,P=0.021)。结论:LC术前应警惕IGBCA的发生,根治手术患者的预后明显优于姑息性单纯胆囊切除的患者,经过合理的再次根治手术,LC并不影响IGBCA患者的预后。
Objective ： To evaluate the impact of different treatment on the prognosis of incidental gallbladder cancer （IGBCA） discovered during or after laparoseopie cholecysteetomy （LC）. Methods： A retrospective clinicopathologic study was performed on 22 patients with IGBCA that discovered during or after LC. Results：Fifteen cases received radical resection,with a 3-year survival rate of 46.67% and 5-year survival rate of 26.67% ;7 cases underwent palliative laparoseopic eholecysteetomy,with a 3-year survival rate of 14.29% and 5-year survival rate of 0. The survival time of radical resection patients was significantly better than that of palliative resection ones,the mean survival time was （56.19 ±6.61 ） months vs. （ 26.20 ±5.19 ） months （ χ^^2 = 0. 741, P = 0. 021 ）. Conclusions ： Surgeons should keep vigilant over the occurrence of IGBCA before doing LC. The prognosis of radical resection patients is significantly better than that of palliative resection ones. LC does not worsen the prognosis of IGBCA if second radical resection is implemented properly.
出处
《腹腔镜外科杂志》
2013年第12期931-934,共4页
Journal of Laparoscopic Surgery
关键词
胆囊切除术
腹腔镜
胆囊肿瘤
意外胆囊癌
预后
Cholecystectomy, laparoscopic
Gallbladder neoplasms
Incidental gallbladder cancer
Prognosis
