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胆囊癌扩大根治性切除术的范围与术式选择

俞文隆 杨晓宇 张永杰

中国实用外科杂志2011,Vol.31Issue(3):209-212,4.
中国实用外科杂志2011,Vol.31Issue(3):209-212,4.

胆囊癌扩大根治性切除术的范围与术式选择

Role of aggressive surgical approach for gallbladder carcinoma with special consideration of the extent of radical resection

俞文隆 1杨晓宇 1张永杰1

作者信息

  • 1. 第二军医大学附属东方肝胆外科医院胆道二科,上海,200438
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摘要

Abstract

Currently, radical resection remains the only way to cure gallbladder carcinoma.Because of the high invasion of gallbladder carcinoma, an effort to improve the extent of surgical resection thus becomes the inevitable choice.However, the risk associated with the extended radical resection of gallbladder carcinoma is still high, and the prognosis of patients with gallbladder carcinoma treated in its advanced stage is still not satisfactory even with extensive radical surgery.With assuring operation safety as the premise,extensive radical resection of gallbladder carcinoma should should be performed in an attempt to achieve an R0 resection.To develop an individualized surgical plan, the following factors should be considered: foci of the size, location and relative to neighboring organs, growth pattern of tumour and whether lymphatic and vascular invasion.The patient's physical conditions, surgeon's skills and medical condition of hospital should be taken into account also.

关键词

胆囊癌/扩大根治性切除

分类

医药卫生

引用本文复制引用

俞文隆,杨晓宇,张永杰..胆囊癌扩大根治性切除术的范围与术式选择[J].中国实用外科杂志,2011,31(3):209-212,4.

中国实用外科杂志

OA北大核心CSCDCSTPCD

1005-2208

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