Gontar' A I
Khirurgiia (Mosk). 1990 Apr(4):83-5.
From 1976 to 1987, 1,537 operations were carried out for cholecystitis at the Ramensk District Hospital; carcinoma of the gallbladder was found in 27 patients, one case with carcinoma of the gallbladder was recognized during laparoscopy and another case during autopsy. Twenty-five patients were over 60 years of age. Concrements were discovered in 16 patients. The diagnosis of carcinoma of the gallbladder cannot be established sometimes, even during an operation. For instance, the authors were able to recognize it in 10 cases only after histological examination. Radical cholecystectomy could be carried out only in 6 of 27 patients. Three of them died having survived 360 days, on average, after the operation. Two patients were alive for more than 4 years, one patient for over 7 years. The average survival of 10 patients after laparotomy and biopsy was 46.5 days. The survival of 11 patients treated by palliative operations was 56 days on average.
1976年至1987年期间，拉缅斯克区医院共进行了1537例胆囊炎手术；其中27例患者被发现患有胆囊癌，1例胆囊癌在腹腔镜检查时确诊，另1例在尸检时确诊。25例患者年龄超过60岁。16例患者发现有结石。有时即使在手术过程中也无法确诊胆囊癌。例如，作者仅在10例患者经组织学检查后才得以确诊。27例患者中只有6例能够进行根治性胆囊切除术。其中3例术后平均存活360天后死亡。2例患者存活超过4年，1例患者存活超过7年。10例患者剖腹探查及活检后的平均生存期为46.5天。11例接受姑息性手术治疗的患者平均生存期为56天。
