Surgical Treatment for Advanced Gallbladder Cancer_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

ZHOU Yong , WU Yantao , YAN Lnan

Department of Surgery, West China Hospital, Sichuan University, Chengdu 610041;

Corresponding author：

Keywords：

Gallbladder cancerOperationPrognosis

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Objective To enhance survival rate and treatment effect for advanced gallbladder cancer (GBC). MethodsEighty cases of advanced GBC were treated surgically from January 1990 to June 2001.Seventyone cases had obstructive jaundice, 15 had palpable abdominal mass. Extended radical cholecystectomy was performed in 39 cases of advanced GBC in which the tumor invaded the surrounding organs or tissues but without distant metastasis. ResultsFollowup showed that the survival period was between 8 and 37 months (average 18.1 months), 1， 2 and 3year survival rates were 43.6%， 20.5% and 5.1% respectively. Palliative operations were performed in other 41 advanced GBC cases with distant metastasis. All of the patients died within one year. Conclusion This result suggests that extended radical cholecystectomy is effective for advanced GBC.

Citation： ZHOU Yong,WU Yantao,YAN Lnan. Surgical Treatment for Advanced Gallbladder Cancer. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2002, 9(3): 189-190. doi: Copy

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1. Nevin JE, Moran TJ, Fay S, et al. Carcinoma of the gallbladder: staging, treatment, and prognosis [J]. Cancer, 1976; 37（2）∶141.
2. Cubertafound P, Gainant A, Cuchiaro G, et al. Surgical treatment of 724 carcinomas of the gallbladder [J]. Ann Surg,1994; 219∶275.
3. 严律南. 胆囊癌与胆管癌诊治进展 [J]. 四川医学，1992; 13（1）∶34.
4. Shiral Y, Yoshida K, Tsukada F, et al. In apparent carcinoma of gallbladder [J]. Ann Surg, 1992; 215（6）∶326.
5. Nakamura S, Sakaguchi S, Suzuki S, et al. Aggressive surgery for carcinoma of the gallbladder [J]. Surgery, 1989; 106（6）∶467.
6. Matsumoto Y, Fujii H, Aoyama H, et al. Surgical treatment of primary carcinoma of the gallbladder based in the histologic analysis of 48 surgical speciments [J]. Am J Surg, 1991; 162（2）∶239.
7. 严律南. 晚期胆囊癌的手术治疗 [J]. 中华外科杂志, 1997; 35（5）∶277.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Surgical Treatment for Advanced Gallbladder Cancer

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