Department of General Surgery, The Armed Police Corps Hospital of Anhui, Hefei, China.
Postgrad Med. 2024 Apr;136(3):278-291. doi: 10.1080/00325481.2024.2345585. Epub 2024 Apr 23.
Gallbladder cancer is a common type of biliary tract tumor. Optimal management for early stage cases typically involves radical excision as the primary treatment modality. Various surgical techniques, including laparoscopic, robotic, and navigational surgery, have demonstrated favorable clinical outcomes in radical gallbladder excision. Unfortunately, most patients are ineligible for surgical intervention because of the advanced stage of the disease upon diagnosis. Consequently, non-surgical interventions, such as chemotherapy, radiotherapy, immunotherapy, and targeted therapy, have become the mainstay of treatment for patients in advanced stages. This review focuses on elucidating various surgical techniques as well as advancements in immunotherapy and targeted therapy in the context of recent advancements in gallbladder cancer research.
胆囊癌是一种常见的胆道肿瘤。早期病例的最佳治疗方法通常是根治性切除。各种手术技术,包括腹腔镜、机器人和导航手术,已在根治性胆囊切除中显示出良好的临床效果。不幸的是,由于大多数患者在诊断时疾病已处于晚期,因此不适合手术干预。因此,非手术干预,如化疗、放疗、免疫治疗和靶向治疗,已成为晚期患者治疗的主要手段。本综述重点阐述了各种手术技术以及免疫治疗和靶向治疗的进展,以及胆囊癌研究的最新进展。