| 谢如钢孙喜太△ 孙凯葛夏青.腹腔镜手术意外发现胆囊癌的诊治体会[J].,2012,12(13):2519-2521 |
| 腹腔镜手术意外发现胆囊癌的诊治体会 |
| The Treatment Experience of Unexpected Gallbladder CarainomaIntraoperative Laparoscopic |
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| DOI： |
| 中文关键词: 腹腔镜 胆囊切除术 胆囊癌 意外胆囊癌 |
| 英文关键词: Laparoscope Cholecystectomy Gallbladder carcinoma Unsuspected gallbladder carcinoma |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨腹腔镜胆囊切除术中（laparoscopic cholecystectomy,LC）遇到意外胆囊癌（unexpected gallbladder carcinoma，UGC）
的诊断和治疗。方法：回顾性分析我院1998 年6 月-2010 年12 月LC 术中遇到的11 例意外胆囊癌的临床资料。结果：术中探查
结合快速病理明确诊断8 例，3 例术后石蜡病理证实为胆囊癌。开腹手术6 例，单纯腹腔镜胆囊切除2 例，3 例腹腔内广泛转移，
行腹腔镜胆囊姑息性切除术；结论：行LC 前应加强对胆囊癌的警惕与认识。术中应常规检查胆囊标本，有怀疑者及时行冰冻切片
检查。UGC 确诊后应尽早开腹行根治性和扩大根治性切除术，并采取必要措施防止肿瘤种植转移。 |
| 英文摘要: |
| Objective: To investigate the diagnosis and treatment of unexpected gallbladder carainoma intraperative Laparoscopic
Cholecystectomy(LC). Methods: Eleven cases clinic datas of unexpected gallbladder carcinoma intraperative Laparoscopic Cholecystectomy
(LC), from June 1998 to December 2010 in our hospital were retrospectively reviewed. Results: Eight cases were clearly diagnosised
by intraperative exploratiom and pathology, and 3 cases were proved by postoperative pathology. 6 cases underwent Laparotomy,
and 2 cases for LC, and 3 cases had carcinoma extensively migrated in abdomen. Conclusions: It is necessary to strengthen alert to and
comprehension of gallbladder carcinoma before operation, and to regularly examine gallbladder intra operation. Suspected gallbladder
sample should be taken biopsy timely. It is as early as possible to take essential measure such as radical or expand excision to avoid tumor
transcoelomic metastasis. |
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