2019/2020年重要更新：胆囊癌的外科治疗
Essential updates 2019/2020: Surgical treatment of gallbladder cancer.
作者信息
Matsuyama Ryusei, Yabusita Yasuhiro, Homma Yuki, Kumamoto Takafumi, Endo Itaru
机构信息
Department of Gastroenterological Surgery Yokohama City University Graduate School of Medicine Yokohama Japan.
出版信息
Ann Gastroenterol Surg. 2021 Jan 29;5(2):152-161. doi: 10.1002/ags3.12434. eCollection 2021 Mar.
Abstract
Gallbladder cancer is a biliary tract cancer that originates in the gallbladder and cystic ducts and is recognized worldwide as a refractory cancer with early involvement of the surrounding area because of its anatomical characteristics. Although the number of cases is increasing steadily worldwide, the frequency of this disease remains low, making it difficult to plan large-scale clinical studies, and there is still much discussion about the indications for surgical resection and the introduction of multidisciplinary treatment. Articles published between 2019 and 2020 were reviewed, focusing mainly on the indications for surgical resection for each tumor stage, the treatment of incidental gallbladder cancer, and current trends in minimally invasive surgery for gallbladder cancer.
摘要
胆囊癌是一种起源于胆囊和胆囊管的胆道癌，由于其解剖学特征，在世界范围内被认为是一种难治性癌症，早期即可累及周围区域。尽管全球范围内病例数在稳步增加，但该疾病的发病率仍然较低，这使得开展大规模临床研究变得困难，并且关于手术切除的适应证以及多学科治疗的引入仍存在诸多讨论。对2019年至2020年发表的文章进行了综述，主要关注各肿瘤分期手术切除的适应证、意外胆囊癌的治疗以及胆囊癌微创手术的当前趋势。
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