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中华普外科手术学杂志(电子版) ›› 2019, Vol. 13 ›› Issue (04) : 418 -420. doi: 10.3877/cma.j.issn.1674-3946.2019.04.031

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论著

三种术式治疗Ⅱ期胆囊癌的疗效及并发症情况比较
陈建勋1,()   
  1. 1. 617067 四川省攀枝花市中心医院肝胆外科
  • 收稿日期:2018-08-06 出版日期:2019-08-26
  • 通信作者: 陈建勋

Comparison of the efficacy and complications of three surgical treatments on stage Ⅱ gallbladder cancer

Jianxun Chen1,()   

  1. 1. Department of hepatobiliary surgery, Panzhihua central hospital, Sichuan province 617067
  • Received:2018-08-06 Published:2019-08-26
  • Corresponding author: Jianxun Chen
  • About author:
    Corresponding author: Chen Jianxun, Email:
引用本文:

陈建勋. 三种术式治疗Ⅱ期胆囊癌的疗效及并发症情况比较[J/OL]. 中华普外科手术学杂志(电子版), 2019, 13(04): 418-420.

Jianxun Chen. Comparison of the efficacy and complications of three surgical treatments on stage Ⅱ gallbladder cancer[J/OL]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2019, 13(04): 418-420.

目的

探讨三种术式治疗Ⅱ期胆囊癌的疗效及并发症情况。

方法

回顾性分析2007年1月至2014年12月156例Ⅱ期胆囊癌患者资料,根据治疗方式分为A、B、C三组,每组52例,A组给予腹腔镜下胆囊切除术、淋巴结清扫术和射频消融治疗,B组给予开腹胆囊切除术、淋巴结清扫术和射频消融治疗,C组给予开腹胆囊切除术、淋巴结清扫术和肝脏部分切除术治疗。观察各组患者治疗效果和并发症差异。采用SPSS24.0统计学软件分析,术中术后各个指标比较采用F检验;治疗有效率、术后1~3年生存率复发率及并发症发生率、术后并发症发生率等采用χ2检验,P<0.05差异有统计学意义。

结果

A组患者手术时间、术中出血量、术后住院时间及术后并发症发生率最低(P<0.05),但三组患者术后有效率、术后1~3年生存率及术后3年复发率差异均无统计学意义(P>0.05)。

结论

腹腔镜下胆囊切除术联合淋巴结清扫术和射频消融治疗Ⅱ期胆囊癌具有显著疗效。

Objective

To investigate the efficacy and complications of three surgical treatments on stage Ⅱ gallbladder carcinoma.

Methods

156 patients with Ⅱ stage gallbladder cancer from January 2007 to December 2014 were retrospectivly analyzed and they were divided into three groups, 52 cases in each group. Group A was given laparoscopic cholecystectomy, lymph node dissection and radiofrequency ablation. Group B was given open cholecystectomy, lymph node dissection and radiofrequency ablation, and group C was given open cholecystectomy, lymph node dissection and partial hepatectomy. The curative effect and complications of each group were observed. The SPSS24.0 statistics software was used to compare. The operation time, the amount of bleeding in the operation and the time of postoperative hospitalization were compared by F test. The treatment efficiency, the one year survival, two years survival, three years survival, the three year recurrence rate after operation and the incidence of complications after the operation were compared by chi square test, and the difference of P<0.05 was statistically significant.

Results

Group A had the lowest operation time, the amount of bleeding, the time of postoperative hospitalization and the postoperative complications incidences (P<0.05). There is no difference of three years recurrence rate and the survival rate of one year, two years and three years after operation among three groups among the three groups.

Conclusion

Laparoscopic cholecystectomy combined with lymph node dissection and radiofrequency ablation is effective in the treatment of stage Ⅱ gallbladder carcinoma.

表1 156例Ⅱ期胆囊癌患者不同疗法三组患者基线资料比较(例)
表2 156例Ⅱ期胆囊癌患者不同疗法三组手术指标比较(±s)
表3 156例Ⅱ期胆囊癌患者不同疗法三组疗效比较(例)
表4 156例Ⅱ期胆囊癌患者不同疗法三组患者术后3年复发率比较(例)
表5 156例Ⅱ期胆囊癌患者不同疗法三组术后并发症比较(例)
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