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目的探讨腹腔镜胆囊切除术发现意外胆囊癌(UGC)的处理方法。方法回顾分析4 100例腹腔镜胆囊切除术中和术后8例UGC的临床资料。结果 8例患者被证实为胆囊癌,6例行LC,其中1例切口种植,1例42个月后死于肿瘤转移;2例中转开腹,其中1例行胆囊癌根治,长期生存,1例因不能根治行单纯胆囊切除。结论腹腔镜手术发现的UGC大多均属早期,采取合适的治疗手段可取得良好的疗效。
Objective To investigate the treatment of unexpected gallbladder cancer (UGC) by laparoscopic cholecystectomy. Methods A retrospective analysis of 4 100 cases of laparoscopic cholecystectomy and postoperative 8 cases of UGC clinical data. Results Eight patients were diagnosed as gallbladder cancer. Six patients underwent LC. One patient underwent incision implantation. One patient died of tumor metastasis after 42 months. Two patients underwent laparotomy. One patient underwent radical prostatectomy and long-term survival at 1 Cases can not cure a simple cholecystectomy. Conclusions Most of the UGC found in laparoscopic surgery are early stage and good curative effect can be obtained by appropriate treatment.