意外胆囊癌的处理和分析（附11例报道）_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 陆颖超 , 顾玉青 , 汪意青 ,  徐红星

太仓市第一人民医院普通外科（江苏太仓 215400）;

Corresponding author：

徐红星, Email: xuhongxing61@163.com

Keywords：

胆囊切除术; 意外胆囊癌

DOI：

10.7507/1007-9424.20150163

Video：

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目的总结意外胆囊癌的临床诊治经验。方法回顾性分析我院普外科2011年1月至2014年6月期间发现的11例意外胆囊癌的临床病例资料。结果共行胆囊切除手术患者4 271例，意外胆囊癌11例，占0.26%。11例意外胆囊癌中，Nevin分期Ⅰ期2例，均行单纯腹腔镜胆囊切除术，目前分别于术后16及32个月均存活；Ⅱ期患者5例，其中4例行胆囊癌根治术，1例首次手术行单纯腹腔镜胆囊切除术，目前于术后7、8、11、28及37个月仍存活；Ⅲ期患者3例，其中2例首次手术行单纯胆囊切除者均于术后7个月死亡，1例行胆囊癌根治术者于术后22个月死亡；Ⅳ期患者1例，有肝十二指肠韧带淋巴结转移，行胆囊癌根治术后9个月死亡。结论行胆囊切除术时应高度警惕意外胆囊癌，意外胆囊癌多属早期，采取合适的治疗手段可取得良好的疗效。

Citation： 陆颖超, 顾玉青, 汪意青, 徐红星. 意外胆囊癌的处理和分析（附11例报道）. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(5): 626-627. doi: 10.7507/1007-9424.20150163 Copy

1.	邹声泉, 徐立宁.重视意外胆囊癌的诊治问题.中华外科杂志, 2005, 43(13):833-835.
2.	Yildirim E, Celen O, Gulben K, et al. The surgical management of incidental gallbladder carcinoma. Eur J Surg Oncol, 2005, 31(1):45-52.
3.	Butte JM, Waugh E, Meneses M, et al. Incidental gallbladder cancer:analysis of surgical findings and survival. J Surg Oncol, 2010, 102(6):620-625.
4.	赖越元, 夏金堂, 温敏杰, 等.意外胆囊癌的临床处理对策与预后.中华肝胆外科杂志, 2007, 13(11):744-746.
5.	赖佳明, 梁力建.腹腔镜胆囊切除术后意外胆囊癌的治疗.中国普外基础与临床杂志, 2012, 19(4):349-353.
6.	黄海林, 胡志前, 王毅, 等.腹腔镜胆囊切除术对意外性胆囊癌预后的影响.中国普通外科杂志, 2009, 18(8):793-796.
7.	孙谷, 赵翰林, 陆文熊, 等.重视腹腔镜胆囊切除术中胆道隐性疾病的发现与处理.肝胆外科杂志, 2001, 9(2):112-113.
8.	Shimizu T, Arima Y, Yokomuro S, et al. Incidental gallbladder cancer diagnosed during and after laparoscopic cholecystectomy. J Nippon Med Sch, 2006, 73(3):136-140.
9.	Pitt SC, Jin LX, Hall BL, et al. Incidental gallbladder cancer at cholecystectomy:when should the surgeon be suspicious. Ann Surg, 2014, 260(1):128-133.
10.	武峤, 何小东, 刘卫, 等.意外胆囊癌的临床处理与预后分析.中华普通外科杂志, 2010, 25(9):725-728.
11.	Cui HX, Ma XD, Han XL, et al. Surgical strategies for unexpected gallbladder carcinoma. Eur Rev Med Pharmacol Sci, 2014, 18(20):3045-3047.
12.	Choi SB, Han HJ, Kim CY, et al. Incidental gallbladder cancer diagnosed following laparoscopic cholecystectomy. World J Surg, 2009, 33(12):2657-2663.
13.	Cucinotta E, Lorenzini C, Melita G, et al. Incidental gall bladder carcinoma:Does the surgical approach influence the outcome? ANZ J Surg, 2005, 75(9):795-798.
14.	Kwon AH, Imamura A, Kitade H, et al. Unsuspected gallbladder cancer diagnosed during or after laparoscopic cholecystectomy. J Surg Oncol, 2008, 97(3):241-245.
15.	Romano F, Franciosi C, Caprotti R, et al. Laparoscopic cholecystectomy and unsuspected gallbladder cancer. Eur J Surg Oncol, 2001, 27(3):225-228.

1. 邹声泉, 徐立宁.重视意外胆囊癌的诊治问题.中华外科杂志, 2005, 43(13):833-835.
2. Yildirim E, Celen O, Gulben K, et al. The surgical management of incidental gallbladder carcinoma. Eur J Surg Oncol, 2005, 31(1):45-52.
3. Butte JM, Waugh E, Meneses M, et al. Incidental gallbladder cancer:analysis of surgical findings and survival. J Surg Oncol, 2010, 102(6):620-625.
4. 赖越元, 夏金堂, 温敏杰, 等.意外胆囊癌的临床处理对策与预后.中华肝胆外科杂志, 2007, 13(11):744-746.
5. 赖佳明, 梁力建.腹腔镜胆囊切除术后意外胆囊癌的治疗.中国普外基础与临床杂志, 2012, 19(4):349-353.
6. 黄海林, 胡志前, 王毅, 等.腹腔镜胆囊切除术对意外性胆囊癌预后的影响.中国普通外科杂志, 2009, 18(8):793-796.
7. 孙谷, 赵翰林, 陆文熊, 等.重视腹腔镜胆囊切除术中胆道隐性疾病的发现与处理.肝胆外科杂志, 2001, 9(2):112-113.
8. Shimizu T, Arima Y, Yokomuro S, et al. Incidental gallbladder cancer diagnosed during and after laparoscopic cholecystectomy. J Nippon Med Sch, 2006, 73(3):136-140.
9. Pitt SC, Jin LX, Hall BL, et al. Incidental gallbladder cancer at cholecystectomy:when should the surgeon be suspicious. Ann Surg, 2014, 260(1):128-133.
10. 武峤, 何小东, 刘卫, 等.意外胆囊癌的临床处理与预后分析.中华普通外科杂志, 2010, 25(9):725-728.
11. Cui HX, Ma XD, Han XL, et al. Surgical strategies for unexpected gallbladder carcinoma. Eur Rev Med Pharmacol Sci, 2014, 18(20):3045-3047.
12. Choi SB, Han HJ, Kim CY, et al. Incidental gallbladder cancer diagnosed following laparoscopic cholecystectomy. World J Surg, 2009, 33(12):2657-2663.
13. Cucinotta E, Lorenzini C, Melita G, et al. Incidental gall bladder carcinoma:Does the surgical approach influence the outcome? ANZ J Surg, 2005, 75(9):795-798.
14. Kwon AH, Imamura A, Kitade H, et al. Unsuspected gallbladder cancer diagnosed during or after laparoscopic cholecystectomy. J Surg Oncol, 2008, 97(3):241-245.
15. Romano F, Franciosi C, Caprotti R, et al. Laparoscopic cholecystectomy and unsuspected gallbladder cancer. Eur J Surg Oncol, 2001, 27(3):225-228.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

意外胆囊癌的处理和分析（附11例报道）

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