Rassek D, Straub D, Sons H U, Stock W
Chirurg. 1985 Jul;56(7):440-4.
A retrospective study of 44 patients with carcinoma of the gallbladder is presented. It is noticeable that although the prognosis for advanced carcinoma of the gallbladder is poor, that of the early stages (stage I-III) is relatively better. In no case diagnosis was made preoperatively. In 86% gallstones were found. There has been no valid staging for tumors of the gallbladder or any generally accepted standardized therapy. Attention is drawn to the possibility of improving the results of therapy at the early stages by extended radical operation and to the necessity for early operative treatment of gallstone disease.
本文对44例胆囊癌患者进行了回顾性研究。值得注意的是,尽管晚期胆囊癌的预后较差,但早期(I - III期)的预后相对较好。术前均未做出诊断。86%的患者发现有胆结石。目前尚无有效的胆囊肿瘤分期方法或任何普遍接受的标准化治疗方案。本文提请注意通过扩大根治性手术改善早期治疗效果的可能性,以及胆结石疾病早期手术治疗的必要性。