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目的 总结原发性胆囊癌的治疗方法和经验。方法 回顾性分析我院自 1997年 11月至 2 0 0 3年 7月间收治的 5 4例病理证实的原发性胆囊癌患者。分析Nevin分期、手术方式对预后的影响。结果 5 4例患者接受手术。其中根治性手术 13例 (包括 5例早期病例行单纯胆囊切除术 ) ,扩大根治性手术 7例。进展期和晚期患者行根治性手术者术后生存期较行姑息性手术者长。结论 早期胆囊癌不必行胆囊癌根治术 ,根治性和扩大根治性手术有助于改善进展期和晚期病例的预后。
Objective To summarize the treatment and experience of primary gallbladder cancer. Methods A retrospective analysis of 54 patients with pathologically confirmed primary gallbladder cancer admitted to our hospital from November 1997 to July 2003 was performed. Analysis of Nevin staging, the impact of surgical methods on prognosis. Results 54 patients underwent surgery. Including radical surgery in 13 cases (including 5 cases of early cases of simple cholecystectomy), expand the radical surgery in 7 cases. Patients with advanced and advanced surgery underwent radical surgery survived longer than palliative surgery. Conclusion Early gallbladder cancer does not require radical gastrectomy for gallbladder cancer. Radical and extended radical surgery may help to improve the prognosis of advanced and advanced cases.