Laparoscopic radical cholecystectomy for gallbladder carcinoma
10.3760/cma.j.issn.1007-631X.2019.03.014
- VernacularTitle:腹腔镜技术在胆囊癌治疗中的应用与探讨
- Author:
Junsheng YANG
1
;
Yunfei DUAN
;
Weibo CHEN
;
Yong YANG
;
Huihua CAI
;
Xuemin CHEN
;
Donglin SUN
Author Information
1. 苏州大学附属第三医院肝胆胰外科
- Keywords:
Gallbladder neoplasms;
Cholecystectomy,laparoscopic;
Lymph node excision
- From:
Chinese Journal of General Surgery
2019;34(3):244-247
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the safety,feasibility,clinical efficacy and prognosis of gallbladder carcinoma treated by laparoscopy.Methods The clinical data of 43 patients with gallbladder carcinoma treated by laparoscopy radical cholecystectomy from Jan 2010 to Oct 2017 in the Third Affiliated Hospital of Soochow University were retrospectively analyzed.Results 15 cases underwent simple laparoscopic cholecystectomy,13 cases underwent laparoscopic cholecystectomy + lymphadenectomy and 15 cases underwent laparoscopic cholecystectomy + liver wedge resection + lymphadenectomy.The average operation time was (64 ± 32) min,(100 ± 45) min,and (217 ± 74) min,respectively.The average intraoperative blood loss was (67 ± 83) ml,(58 ± 63) ml and (182 ± 165) ml.The average postoperative hospital stay was (4.3 ± 2.2) days,(5.2 ± 2.0) days,(7.0 ± 1.7) days.All patients were diagnosed as gallbladder carcinoma by postoperative pathology.The median follow-up time was 14.5 months (range from 3 to 97 months).The cumulative survival rates of Tis,T1b,T2 and T3 stage were 100％,90％,52.7％ and 0,respectively (x2 =25.333,P ＜ 0.05).Conclusions It is safe and feasible to treat early gallbladder carcinoma by laparoscopy.
