不同部位T2期胆囊癌不同手术方式疗效分析

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胆囊癌是胆道最常见的恶性肿瘤.不幸的是,除了早期胆囊癌外,胆囊癌的预后非常差.肿瘤浸润深度和淋巴结转移是胆囊癌最重要的预后因素[1].在早期研究中,局限于固有层(T1a)或肌层(T1b)的T1期肿瘤5年生存率为72%-100%,单纯的胆囊切除术被认为是治疗T1期胆囊癌的一种合适的手术方法[2].同时,T3和T4期胆囊癌有浆膜、邻近器官受侵或主要血管侵犯的预后很差,5年生存率<20%.与T1、T3和T4期胆囊癌相比,T2期胆囊癌的预后差异很大,难以预测.
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