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目的总结河南省三门峡市渑池县人民医院近10年来手术治疗的30例胆囊癌的治疗情况,探讨如何提高胆囊癌的手术治疗效果。方法对30例胆囊癌的手术治疗病例做回顾性分析。结果本组共行根治性切除术18例,包括胆囊、肝脏楔型切除术9例,半肝切除术/肝三叶切除术6例,胰十二指肠切除术3例,均进行了相应淋巴结清扫。活检包括单纯活检、活检加胆囊造瘘或胆管T管引流术,姑息性切除包括单纯胆囊切除、胆囊切除加胆管T管引流术或胆肠吻合术。结论对胆囊癌患者根据肿瘤累及范围,可以采取规范的根治术、积极扩大根治术和及时再手术。
Objective To summarize the treatment of 30 cases of gallbladder carcinoma treated by surgery in Mianchi County People’s Hospital of Sanmenxia City in Henan Province in recent 10 years to explore how to improve the surgical treatment of gallbladder cancer. Methods Thirty cases of gallbladder carcinoma were retrospectively analyzed. Results This group of patients underwent radical resection in 18 cases, including gallbladder, liver wedge resection in 9 cases, hemihepatectomy / hepatectomy in 6 cases, pancreatoduodenectomy in 3 cases, were carried out corresponding Lymph node dissection. Biopsy, including biopsy, biopsy plus gallbladder ostomy or biliary duct drainage, palliative resection, including simple cholecystectomy, cholecystectomy and bile duct T drainage or cholangioenterostomy. Conclusion Patients with gallbladder cancer, according to the scope of tumor involvement, can take a standardized radical surgery, and actively expand radical surgery and timely reoperation.