胆囊癌并多脏器联合切除并靶向化疗病例诊疗体会
Diagnosis and Treatment of Gallbladder Cancer with Combined Resection of Multiple Organs and Targeted Chemotherapy
DOI: 10.12677/ACM.2022.121063, PDF,   
作者: 陈 曦:延安大学,陕西 延安 ;姜兴虎*:陕西省渭南市华州区人民医院,陕西 渭南
关键词: 胆囊癌多脏器联合切除靶向化疗诊疗体会Gallbladder Cancer Combined Resection of Multiple Organs Targeted Chemotherapy Experience in Diagnosis and Treatment
摘要: 胆囊癌是常见的胆道系统恶性肿瘤,具有隐匿性、发展快、预后差的特点,尤其对于晚期胆囊癌侵犯多脏器的患者,改善预后的关键在于术前给予精准的评估,同时有效及时地切除肿瘤组织,能够延长患者生命,改善患者生存质量。本文就一例胆囊癌侵犯多脏器进行联合切除手术的患者,探讨其诊疗体会。
Abstract: Gallbladder cancer is a common malignant tumor of the biliary system. It has the characteristics of occult, rapid development, and poor prognosis. Especially for patients with advanced gallbladder cancer invading multiple organs, the key to improving the prognosis lies in accurate evaluation before surgery, and at the same time, effective and timely removal of tumor tissue can prolong the life of the patient and improve the survival of the patient. This article discusses the clinical experience of a case of gallbladder cancer invading multiple organs undergoing combined resection.
文章引用:陈曦, 姜兴虎. 胆囊癌并多脏器联合切除并靶向化疗病例诊疗体会[J]. 临床医学进展, 2022, 12(1): 419-424. https://doi.org/10.12677/ACM.2022.121063

参考文献

[1] 张磊, 陈亚进. 开展腹腔镜胆囊癌根治术的启示与思考[J]. 中华消化外科杂志, 2020, 19(1): 46-49.
[2] 殷燮灵, 陈橼, 陈红健, 等. 完全腹腔镜胆囊癌根治术治疗胆囊癌患者的临床效果[J]. 医疗装备, 2021, 34(9): 106-107.
[3] 王伟, 别玉坤, 尹余余. 腹腔镜下胆囊癌根治术的有效性及安全性研究[J]. 实用癌症杂志, 2020, 35(4): 609-611, 642.
[4] 窦常伟, 张成武. 腹腔镜胆囊癌根治术的临床应用体会及思考[J]. 肝胆胰外科杂志, 2020, 32(5): 270-273, 276.
[5] 伊力夏提·艾则孜, 晏冬. 进展期胆囊癌治疗模式的研究进展[J]. 山东医药, 2018, 58(9): 95-98.
[6] Sakamoto, Y., Nara, S., Kishi, Y., Esaki, M., Shimada, K., Kokudo, N. and Kosuge, T. (2013) Is Extended Hemihepatectomy Plus Pancreaticoduodenectomy Justified for Advanced Bile Duct Cancer and Gallbladder Cancer? Surgery, 153, 794-800. [Google Scholar] [CrossRef] [PubMed]
[7] Zhou, Y., Zhang, Z., Wu, L. and Li, B. (2016) A Systematic Review of Safety and Efficacy of Hepatopancreatoduodenectomy for Biliary and Gallbladder Cancers. HPB (Oxford), 18, 1-6. [Google Scholar] [CrossRef] [PubMed]
[8] 付佳禄, 李起, 张东, 等. 《胆囊癌诊断和治疗指南》(2019版)更新解读[J]. 肝胆胰外科杂志, 2020, 32(11): 659-663, 666.
[9] Boland, C.R., Thibodeau, S.N. and Hamilton, S.R., et al. (1998) A National Cancer Institute Workshop on Microsatellite Instability for Cancer Detection and Familial Predisposition: Development of International Criteria for the Determination of Microsatellite Instability in Colorectal Cancer. Cancer Research, 58, 5248-5257.