中国实用外科杂志2016，Vol.36Issue(10)：1050-1053,4.DOI:10.7504/CJPS.ISSN1005-2208.2016.10.09
黄色肉芽肿性胆囊炎与胆囊癌的鉴别诊断及术中决策
Differential diagnosis and management strategies of xanthogranulomatous cholecystitis and gallbladder carcinoma
王广义 1孙晓东 1邱伟1
作者信息
- 1. 吉林大学白求恩第一医院肝胆胰外一科，吉林长春130021
- 折叠
摘要
Abstract
Xanthogranulomatous cholecystitis (XGC) is a rare type of cholecystitis, and the etiopathogenesis of XGC is not fully understood. It is difficult to differentiate XGC from gallbladder carcinoma by symptoms, physical examination, laboratory tests, and radiographic findings because of uneven thickening gallbladder wall and severe adhesions with surrounding organs, especially in some cases associated with gallbladder carcinoma. Preoperative and intraoperative diagnosis rate is poor. Preoperative and intraoperative fineneedle aspiration cytology and frozen pathology is important to the intraoperative surgical management. Because of a high conversion rate (laparoscopic to open cholecystectomy) and incidence of complications with laparoscopic cholecystectomy, open surgery is suggested. The appropriate surgical procedures should be performed according to intraoperative frozen pathology results.关键词
黄色肉芽肿性胆囊炎/胆囊癌/鉴别诊断Key words
xanthogranulomatous cholecystitis/gallbladder carcinoma/differential diagnosis分类
医药卫生引用本文复制引用
王广义,孙晓东,邱伟..黄色肉芽肿性胆囊炎与胆囊癌的鉴别诊断及术中决策[J].中国实用外科杂志,2016,36(10):1050-1053,4.
