中国现代手术学杂志2011,Vol.15Issue(5):343-345,3.
黄色肉芽肿性胆囊炎的诊治分析
The Analysis of Diagnosis and Treatment for Xanthogranulomatous Cholgecystitis
谢于 1孙强 1段伟宏 1周宁新1
作者信息
- 1. 中国人民解放军第二炮兵总医院肝胆外科,北京100088
- 折叠
摘要
Abstract
Objective To investigate the clinical results of diagnosis and treatment for xanthogranulom-atous cholecystitis ( XGC ). Methods The clinical characteristics, the pathological results and their follow-up information were retrospectively analyzed in 4 patients with XCC. Results All patient were diagnosed carcinoma of gallbladder before operation, while postoperative pathological examination confirmed XCC. Among them, 3 cases were performed partial liver wedge resection beneath gallbladder bed and lymph node resection in hepatoduodenal ligament, and the other one underwent partial colectomy at the hepatic flexure in addition. All the 4 cases got cured and had neither relapse nor canceration during the 7 months to 6 years follow-up (39 months in average). Conclusions XCC is a special type chronic cholecystitis, and it is difficult to make a definite diagnosis before the operation and liable to be confused with the carcinoma of gallbladder. Its definite diagnosis depends on pathological examination. Operation is the best choice and the intraoperative freezing section pathological examination can guide the operation plan.关键词
胆囊炎/黄色肉芽肿性Key words
cholgecystitis, xanthogranulomatous分类
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谢于,孙强,段伟宏,周宁新..黄色肉芽肿性胆囊炎的诊治分析[J].中国现代手术学杂志,2011,15(5):343-345,3.