• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >Laparoscopic management of incidental gallbladder cancer
【24h】

Laparoscopic management of incidental gallbladder cancer

机译：偶然胆囊癌的腹腔镜管理

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background The laparoscopic cholecystectomy has allowed the detection of an increasing number of incidental gallbladder cancers (IGBC). Although laparoscopy is employed in the management of a variety of abdominal tumors, its use in gallbladder cancer is reduced and controversial. This study analyzes the role of laparoscopy in gallbladder cancer with the focus in IGBC. Method We evaluated our prospective series of 51 patients with an IGBC who were treated by laparoscopy between 2006 and 2016 at the Clinica Alemana in Santiago, Chile. Results The series comprised 7 men and 44 women. Age ranged from 43 to 76?years (mean age 60). Regarding wall involvement, 29 patients had a T2 tumor, which was the most common. 8 and 14 patients had T1b and T3 tumors, respectively. Of the patients, 17 underwent only laparoscopic exploration. This was due to the presence tumor dissemination not being observed in the preoperative staging. 10 patients had to be converted to complete the resection, whereas 24 patients were laparoscopically resected. The quality of the resected material was not different between those who were converted and those who were treated by laparoscopy. In the laparoscopic group, the average number of harvested lymph nodes was 7.9, not statistically different from the converted group. The mean of hospital stay in the laparoscopic group (4.3?days) was significantly lower than the converted group. Conclusions Laparoscopy has been shown to be a safe and feasible method for the management of IGBC. This method not only allows for a complete exploration, identifying a previously unseen residual tumor, but also makes it possible to accomplish the same oncology objectives as the open procedure. Therefore, laparoscopy should be considered a valid alternative in the management of IGBC.
机译：背景技术腹腔镜胆囊切除术允许检测越来越多的偶然胆囊癌（IGBC）。虽然腹腔镜检查用于各种腹部肿瘤的管理中，但其在胆囊癌中的使用减少和争议。本研究分析了腹腔镜在胆囊癌中的作用与IGBC的焦点。方法我们评估了我们的前瞻性系列51名患者的IGBC，在智利圣地亚哥的Clinica Alemana在2006年至2016年间腹腔镜治疗。结果该系列包括7名男子和44名女性。年龄范围从43到76？年（平均年龄60岁）。关于墙壁参与，29名患者有一个T2肿瘤，这是最常见的。 8和14名患者分别具有T1B和T3肿瘤。患者，17名只有腹腔镜勘探。这是由于在术前分期中未观察到肿瘤散发。 10名患者必须转化以完成切除术，而24名患者在腹腔镜切除。转化的人之间切除的材料的质量与腹腔镜检查治疗的人之间没有差异。在腹腔镜组中，收获的淋巴结的平均数量为7.9，与转化组没有统计学不同。腹腔镜组（4.3？天）的住院入住的平均值明显低于转化组。结论腹腔镜检查已被证明是IGBC管理的安全可行方法。该方法不仅允许完全探索，识别先前看不见的残留肿瘤，而且还可以实现与开放过程相同的肿瘤学目标。因此，腹腔镜检查应被视为IGBC管理中的有效替代方案。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号