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目的:探讨手术治疗原发性胆囊癌的临床疗效。方法:回顾性分析2005年12月—2010年12月在我院完成胆囊癌手术的40例临床与随访资料。结果:40例患者发生并发症7例,发生率为17.5%;围手术期死亡1例,手术死亡率为2.5%;术后随访时间6～60个月,40例患者存活6例,34例死亡,5例姑息性手术患者均于3个月到1年死亡。结论:在充分考虑病人的全身情况、肿瘤及淋巴结受累情况等多种因素时,对Ⅰ期患者行单纯胆囊切除术,对Ⅲ、Ⅳ期患者则应行胆囊癌根治术,对晚期患者行姑息性切除可达到较好的治疗效果。
Objective: To investigate the clinical efficacy of surgical treatment of primary gallbladder cancer. Methods: A retrospective analysis of 40 cases of clinical and follow-up data of gallbladder cancer surgery in our hospital from December 2005 to December 2010 was performed. Results: Complications were found in 40 patients (17.5%), perioperative mortality (2.5%), postoperative follow-up time (6-60 months), survival rate in 40 patients (6 patients), and complications Death, 5 patients with palliative surgery were 3 months to 1 year of death. Conclusions: When considering various factors such as systemic condition of the patient, tumor and lymph node involvement, simple cholecystectomy for stage Ⅰ patients and radical mastectomy of gallbladder carcinoma for stage Ⅲ and Ⅳ patients, Sex resection can achieve better therapeutic effect.