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目的探讨腹腔镜意外胆囊癌的临床特点及诊治分析。方法回顾性分析2011~2012年30例腹腔镜意外胆囊癌手术病人的资料及随访结果 .结果 30例腹腔镜胆囊癌患者中:26创为胆囊炎、胆囊结石;4例为胆囊息肉.Nevin分期I期患者12例;Ⅱ期患者14例;Ⅲ期患者4例.18例行单纯胆囊切除术;12例行根治术。随访至今.死亡12例.仍存活18例.结论早期胆囊癌术前诊断困难,术前应重视胆囊癌的高危因素和早期胆囊癌诊断意识.术中标本的解剖检查和快速病理检查.根据临床病理分期选择具体的处理方案.力求根治性切除.
Objective To investigate the clinical features, diagnosis and treatment of laparoscopic gallbladder carcinoma. Methods The data of 30 cases of laparoscopic surgery for patients with gallbladder carcinoma were retrospectively analyzed.Results Of the 30 patients with laparoscopic gallbladder carcinoma, 26 were cholecystitis and gallstone and 4 were gallbladder polyps.Nevin staging 12 cases of stage I patients, 14 cases of stage II patients, 4 cases of stage III patients, 18 cases of simple cholecystectomy and 12 cases of radical operation. Up to now, 12 cases died and still survived in 18 cases.Conclusion Preoperative diagnosis of early gallbladder cancer is difficult, high risk factors of gallbladder carcinoma and early diagnosis of gallbladder carcinoma should be paid attention to before operation.Analytical examination and rapid pathological examination of intraoperative specimens were performed according to clinical Select the specific treatment of staging staging. Strive for radical resection.