中国实用外科杂志2011,Vol.31Issue(3):224-227,4.
肿瘤分期对胆囊癌术式选择及预后判断临床意义研究
Study of gallbladder cancer staging systems for surgery treatment choice and prognosis estimation
摘要
Abstract
Objective To realize the application of gallbladder cancer staging systems and estimate their value of guiding the surgery treatment choice and prognosis estimation. Methods Correlative literatures were retrieved with the key words "gallbladder cancer and stage" using CNKI (Chinese) and Pubmed (English) from January 2001 to June 2010,and were tabulated and critically appraised. Results There were three main kinds of methods for gallbladder cancer staging, Nevin, JSBS and TNM (AJCC/UICC). Among 235 papers retrieved with CNKI, there were 163 (69.4%) papers of Nevin stage, 4 (1.7%) papers of JSBS, 65 (27.6%) papers of TNM and 3 (1.3%) papers of others. Among 353 papers retrieved with Pubmed, there were 71(20.1%) papers of Nevin stage, 14 (4%) papers of JSBS stage, 261 (73.9%) papers of TNM stage and 7 (2%) papers of others. Conclusion Early application of Nevin stage is popular and easily remembered but the value of guiding the surgery treatment choice and prognosis estimation is poor. JSBS stage and lymph node grouping were complicated for clinical application. TNM stage is particular and easily applied with reasonable lymph node grouping. The value for guiding surgery treatment choice and prognosis estimation is more rational than the others.The application of TNM stage is becoming more and more popular.关键词
胆囊癌/分期/手术方式/预后分类
医药卫生引用本文复制引用
汤朝晖,刘颖斌,全志伟..肿瘤分期对胆囊癌术式选择及预后判断临床意义研究[J].中国实用外科杂志,2011,31(3):224-227,4.基金项目
上海市卫生局资助课题(No.2007056) (No.2007056)