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目的:探讨意外胆囊癌的临床特点及治疗措施。方法:对我院19例胆囊切除术中、术后发现的意外胆囊癌的诊治情况进行回顾性分析。结果:早期胆囊癌患者胆囊切除加淋巴结清除术10例,平均生存时间18.7个月;扩大根治术患者4例,平均生存时间为12.3个月;姑息性手术患者5例,生存时间均未超过6个月。结论:意外胆囊癌术中快速病理切片检查是诊断的关键,确诊后首选根治性切除术,具体治疗措施根据Nevin病理分期和术中B超检查决定。
Objective: To investigate the clinical features and treatment of unexpected gallbladder cancer. Methods: 19 cases of our hospital cholecystectomy, the diagnosis and treatment of unexpected gallbladder carcinoma were retrospectively analyzed. Results: In the early stage of gallbladder carcinoma, cholecystectomy plus lymph node dissection was performed in 10 cases with an average survival time of 18.7 months. Four patients underwent extended radical operation with an average survival time of 12.3 months. Palliative surgery patients did not survive more than 6 Months. Conclusion: The rapid intraoperative pathological examination of unexpected gallbladder cancer is the key to diagnosis. Radical resection is the first choice after diagnosis. The specific treatment measures are based on Nevin pathological stage and intraoperative ultrasound examination.