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患者男,17岁。以右上腹肿块行剖腹探查术。术中见胆囊肿大至14×8×6cm,壁水肿,腔内充满清亮渗液,无胆汁存留。于肌囊颈部粘膜与浆膜之间有一8×6×6cm肿块,质硬,呈鱼肉状,无孤立的包膜,已侵犯胆囊管和胆总管的外侧壁。小网膜内、门静脉后和肝动脉旁有散在肿大的淋巴结。十二指肠前及胰头后未见肿大的淋巴结。以胆囊癌行根治术,并将距
Male patient, 17 years old. A laparotomy was performed on the right upper abdominal mass. During the operation, the gallbladder was swollen to 14×8×6cm. The wall edema was filled with clear fluid and no bile was retained. There is an 8x6x6cm mass between the cervical mucous membrane and the serosa. It is hard, fishy, and has no isolated capsule. It has invaded the lateral wall of the cystic duct and common bile duct. There are scattered enlarged lymph nodes within the small omentum, posterior to the portal vein, and adjacent to the hepatic artery. No enlarged lymph nodes were found before the duodenum and after the head of the pancreas. Radical surgery for gallbladder cancer and distance