Klimkiewicz-Wiesiołek E, Dybicki J, Jackiewicz Z, Dybkowski J, Lacki M, Grabicki R
Wiad Lek. 1989 Jun 1;42(11):711-6.
One-hundred patients treated for gallbladder carcinoma in the years 1970-1986 are described. They accounted for 2.63% of all patients treated surgically for diseases of the gallbladder and bile ducts. Coexistence of carcinoma and cholelithiasis was found in 76% of cases. In 64 cases only exploratory laparotomy was done and biopsy was done for histological examination, since the progression of the tumour precluded any radical operation. In 15 cases cholecystectomy was done and in the remaining 21 patients palliative procedures were done. In the perioperative period 17 patients died. Information on the length of survival time was obtained in 43 cases. It was longest in cases in which the degree of progression of the tumour was classified into stages I and II after Nevin. Six patients are alive 7 months to 8 years after the operation. The authors think that the methods for improvement of the results of surgical treatment should be sought in prevention of this carcinoma that is early surgical treatment of cholelithiasis.
本文描述了1970年至1986年间接受胆囊癌治疗的100例患者。他们占所有接受胆囊和胆管疾病手术治疗患者的2.63%。76%的病例中发现癌与胆石症并存。64例仅行剖腹探查术并取活检进行组织学检查，因为肿瘤进展使任何根治性手术无法进行。15例行胆囊切除术，其余21例患者行姑息性手术。围手术期有17例患者死亡。43例获得了生存时间信息。在根据内文将肿瘤进展程度分为I期和II期的病例中，生存时间最长。6例患者术后存活7个月至8年。作者认为，应通过预防这种癌症，即早期手术治疗胆石症，来寻求提高手术治疗效果的方法。
