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[胆囊癌的预后因素作为再次手术的决策辅助依据]

[Prognostic factors in gallbladder carcinoma as a decision aid for reoperation].

作者信息

Schauer R, Rau H, Baretton G, Blasenbreu S, Meyer G, Schildberg F W

机构信息

Chirurgische Klinik und Poliklinik, Universität München.

出版信息

Langenbecks Arch Chir Suppl Kongressbd. 1997;114:1072-4.

PMID:9574336
Abstract

In a retrospective study of patients with gallbladder carcinoma, predictive factors for survival were evaluated. TNM stage, according to the UICC and complete tumor resection, turned out to be the strongest values in multivariate analysis. So it is important to make an early correct diagnosis and to reach complete tumor resection during surgical procedure. In case of an incidental tumor after simple cholecystectomy, hepatic wedge resection and lymph node dissection should be performed in T2 stage and above.

摘要

在一项对胆囊癌患者的回顾性研究中,对生存的预测因素进行了评估。根据国际抗癌联盟(UICC)的标准,TNM分期以及完整的肿瘤切除在多变量分析中显示出最强的预测价值。因此,早期做出正确诊断并在手术过程中实现完整的肿瘤切除非常重要。对于单纯胆囊切除术后偶然发现的肿瘤,T2期及以上应进行肝楔形切除和淋巴结清扫。

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