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《胆囊癌腹腔镜根治性切除术专家共识》

[Expert consensus on the laparoscopic radical resection of gallbladder cancer].

出版信息

Zhonghua Wai Ke Za Zhi. 2024 Mar 1;62(4):265-272. doi: 10.3760/cma.j.cn112139-20240129-00058.

Abstract

The incidence of gallbladder cancer has been increasing. Radial resection is still the most promising curable treatment for patients with gallbladder cancer. Although the techniques required for laparoscopic radical resection of gallbladder cancer have matured, the number of reports is also on the rise, and laparoscopic radical resection of gallbladder cancer is still controversial. To standardize laparoscopic radical resection of gallbladder cancer, the Biliary Surgery Branch, Chinese Society of Surgery, Chinese Medical Association, together with the Chinese Medical Doctor Association in Chinese Committee of Biliary Surgeons, gathered experts to formulate recommendations and consensus on laparoscopic radical resection of gallbladder cancer. This consensus includes several parts: safety, preoperative evaluation, indications, surgical team, positioning of patient and trocars, intraoperative frozen examination, lymph node dissection, liver resection,bile duct resection, etc. Furthermore, suggestions on the principle of treatment, surgical procedures, and precautions were also provided for patients with delayed diagnoses of gallbladder cancer undergoing resection. This consensus aims to offer valuable suggestions for the standardization of laparoscopic radical resection of gallbladder cancer.

摘要

胆囊癌的发病率一直在上升。根治性切除术仍然是胆囊癌患者最有希望治愈的治疗方法。尽管腹腔镜胆囊癌根治术所需的技术已经成熟,报告数量也在增加,但腹腔镜胆囊癌根治术仍存在争议。为规范腹腔镜胆囊癌根治术,中华医学会外科学分会胆道外科学组联合中国医师协会外科医师分会胆道外科医师委员会组织专家制定了腹腔镜胆囊癌根治术的推荐意见和共识。该共识包括以下几个部分:安全性、术前评估、适应证、手术团队、患者及套管针定位、术中冰冻检查、淋巴结清扫、肝切除、胆管切除等。此外,还针对接受手术的胆囊癌延迟诊断患者的治疗原则、手术步骤及注意事项提出了建议。本共识旨在为规范腹腔镜胆囊癌根治术提供有价值的建议。

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