Chijiiwa K, Sumiyoshi K, Nakayama F
Department of Surgery I, Kyushu University Faculty of Medicine, Fukuoka, Japan.
World J Surg. 1991 May-Jun;15(3):322-7. doi: 10.1007/BF01658723.
Among 26 patients with gallbladder carcinoma, 11 resected cases were studied retrospectively with respect to the preoperative imaging techniques and the operative procedures employed. Ultrasonography, endoscopic ultrasonography, and computed tomography were valuable in detecting gallbladder carcinoma preoperatively while direct cholangiography and angiography were helpful in designing operative strategy. The ultrasonographic findings were: a polypoid (fungating) mass protruding into the gallbladder lumen in 45%, abnormal thickening of the gallbladder wall in 18%, and a mass in the gallbladder invading adjacent organs in 18% of cases. Approximately 80% was diagnosed preoperatively by ultrasonography. Correct diagnosis was made by computed tomography in 60% of the cases. Endoscopic ultrasonography offered valuable information on the depth of tumor invasion. Direct cholangiography and angiography were useful in assessing the extent of the tumor spread. Recent advances in hepatobiliary imaging techniques, especially ultrasonography and computed tomography, contributed greatly to the detection and evaluation of gallbladder carcinoma at an early and resectable stage.
在26例胆囊癌患者中，对11例手术切除病例的术前成像技术和所采用的手术方法进行了回顾性研究。超声检查、内镜超声检查和计算机断层扫描在术前检测胆囊癌方面很有价值，而直接胆管造影和血管造影有助于制定手术策略。超声检查结果显示：45%的病例有息肉样（蕈状）肿物突入胆囊腔，18%的病例胆囊壁异常增厚，18%的病例胆囊肿物侵犯邻近器官。约80%的病例术前通过超声检查得以诊断。60%的病例通过计算机断层扫描做出了正确诊断。内镜超声检查提供了关于肿瘤浸润深度的有价值信息。直接胆管造影和血管造影有助于评估肿瘤扩散范围。肝胆成像技术的最新进展，尤其是超声检查和计算机断层扫描，对早期可切除阶段胆囊癌的检测和评估有很大帮助。
