意外膽囊癌的處理和分析（附11例報道）_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 陸穎超 , 顧玉青 , 汪意青 ,  徐紅星

太倉市第一人民醫院普通外科（江蘇太倉 215400）;

Corresponding?author：

徐紅星, Email: xuhongxing61@163.com

Keywords：

膽囊切除術; 意外膽囊癌

DOI：

10.7507/1007-9424.20150163

Video：

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目的總結意外膽囊癌的臨床診治經驗。方法回顧性分析我院普外科2011年1月至2014年6月期間發現的11例意外膽囊癌的臨床病例資料。結果共行膽囊切除手術患者4 271例，意外膽囊癌11例，占0.26%。11例意外膽囊癌中，Nevin分期Ⅰ期2例，均行單純腹腔鏡膽囊切除術，目前分別于術后16及32個月均存活；Ⅱ期患者5例，其中4例行膽囊癌根治術，1例首次手術行單純腹腔鏡膽囊切除術，目前于術后7、8、11、28及37個月仍存活；Ⅲ期患者3例，其中2例首次手術行單純膽囊切除者均于術后7個月死亡，1例行膽囊癌根治術者于術后22個月死亡；Ⅳ期患者1例，有肝十二指腸韌帶淋巴結轉移，行膽囊癌根治術后9個月死亡。結論行膽囊切除術時應高度警惕意外膽囊癌，意外膽囊癌多屬早期，采取合適的治療手段可取得良好的療效。

Citation： 陸穎超, 顧玉青, 汪意青, 徐紅星. 意外膽囊癌的處理和分析（附11例報道）. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(5): 626-627. doi: 10.7507/1007-9424.20150163 Copy

1.	鄒聲泉, 徐立寧.重視意外膽囊癌的診治問題.中華外科雜志, 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.	賴越元, 夏金堂, 溫敏杰, 等.意外膽囊癌的臨床處理對策與預后.中華肝膽外科雜志, 2007, 13(11):744-746.
5.	賴佳明, 梁力建.腹腔鏡膽囊切除術后意外膽囊癌的治療.中國普外基礎與臨床雜志, 2012, 19(4):349-353.
6.	黃海林, 胡志前, 王毅, 等.腹腔鏡膽囊切除術對意外性膽囊癌預后的影響.中國普通外科雜志, 2009, 18(8):793-796.
7.	孫谷, 趙翰林, 陸文熊, 等.重視腹腔鏡膽囊切除術中膽道隱性疾病的發現與處理.肝膽外科雜志, 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.	武嶠, 何小東, 劉衛, 等.意外膽囊癌的臨床處理與預后分析.中華普通外科雜志, 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. 鄒聲泉, 徐立寧.重視意外膽囊癌的診治問題.中華外科雜志, 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. 賴越元, 夏金堂, 溫敏杰, 等.意外膽囊癌的臨床處理對策與預后.中華肝膽外科雜志, 2007, 13(11):744-746.
5. 賴佳明, 梁力建.腹腔鏡膽囊切除術后意外膽囊癌的治療.中國普外基礎與臨床雜志, 2012, 19(4):349-353.
6. 黃海林, 胡志前, 王毅, 等.腹腔鏡膽囊切除術對意外性膽囊癌預后的影響.中國普通外科雜志, 2009, 18(8):793-796.
7. 孫谷, 趙翰林, 陸文熊, 等.重視腹腔鏡膽囊切除術中膽道隱性疾病的發現與處理.肝膽外科雜志, 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. 武嶠, 何小東, 劉衛, 等.意外膽囊癌的臨床處理與預后分析.中華普通外科雜志, 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

意外膽囊癌的處理和分析（附11例報道）

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