中国实用外科杂志2016，Vol.36Issue(1)：15-18,4.DOI:10.7504/CJPS.ISSN1005-2208.2016.01.06
胆囊癌手术质量控制
Quality control of surgeries for gallbladder carcinom
王捷 1徐鋆耀 1姜海1
作者信息
- 1. 中山大学孙逸仙纪念医院肝胆外科,广东广州510120
- 折叠
摘要
Abstract
Radical resection controlled by surgeons is the most effective therapeutic option for patients with gallbladder cancer. The ultimate goal of surgery is to achieve R0 resection, which means negative resection margins as well as the definite clearance of potentially metastatic lymph nodes. A quality control system should be established to grantee the imperial role of radical resection on long term outcome, which may include several parts: 1. To classify the patients into an appropriate TNM stage(AJCC 7th) with comprehensively preoperative examinations, 2. To set up the surgical plan based on the amended TNM staging , with the combination of intraoperative exploration and pathological finding, 3. To standardize the surgical procedure with the guidance of oncological rules, 4. To standardize the management of specimens and postoperative follow-up of patients. Moreover, rapid development of laparoscopic techniques has warranted the possibility of minimally invasive gallbladder carcinoma radical operation. And emerging technology on intraoperative visualization will undoubtedly promote the process of precision surgery for the treatment of gallbladder cancer.关键词
胆囊癌/手术/质量控制Key words
gallbladder cancer/surgery/quality control分类
医药卫生引用本文复制引用
王捷,徐鋆耀,姜海..胆囊癌手术质量控制[J].中国实用外科杂志,2016,36(1):15-18,4.
