Nevin_期胆囊癌62例的外科治疗.pdfVIP

2004 10 19 10 Chin J Gen Su g, Oct obe 2004, Vol. 19, No. 10 589 Nevin 62 肖卫东 彭承宏 周光文 吴伟顶 沈柏用 严佶祺 杨卫平 李宏为 Nevin , 1993 1 2002 12 62 Nevin , 62 Nevin 17 , 45 30 , 32 , 52% ( 32/ 62) , 7 , 10 , 15 , 27% ( 17/ 62) 35% ( 6/ 17) 135 61% 3 1% 11% , 27% 13% 0( P 001) ; 1 3% , 3 0 Nevin , , , ; Surgical treatment of gallbladder carcinoma at Nevins stage and in 62 cases XIAO Weidong, PENG Chenghong , ZHOU Guangwen, WU Weiding, SHEN Boyong, YAN Jieqi, YANG Weiping, I Hongwei Dep artment of Surgery, Ruji inHospital, Shanghai Second Medical University, Shanghai 200025, China Abstract Objective To evaluate the su gical t eatment of Nevins stage and gallbladde ca cinomaMethods A et ospective analysis was made on 62 cases of Nevins stage and gallbladde ca cinoma patients unde going su gical t eatment f om Jan 1993 to Dec2002 Results The e we e 17 cases of stage and 45 of stage Cholecystectomy was pe fo med in 32 cases with a esection ate of 52% , 7 cases eceived adical esection, 10 extended adical esection and 15 palliative esectionThe total su gical mo bidity ate was 353% Postope ative 1, 3, 5yea su vival ate of adical and palliative esection we e 61% , 31% , 11% and 27% , 13% , 0 espectively ( P 001) The 1, 3yea su vival ate of patients unde going lapa otomy only was 3% and 0 Conclusion Nevins stage and gallbladde ca cinoma should be t eated by agg essive su ge yRadical o extended adical esection p omises an imp ovement in longte m su vival ate Key words Gallbladde neoplasms; Su gical p ocedu e ope ative [ 1, 2] , 34 ( 55% ) 15 ( 24% ) 1993 1 2002 12 62 Nevin , 17 , 7 , 1 , , 5 , 4 45 , 9 , 10 , 26 ( 1) :