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相關文獻
- Primary Carcinoma of the Gallbladder: Surgical Treatment and Prognosis
- 膽囊癌及膽胰特殊內視鏡檢查
- 腹腔鏡膽囊切除術
- 內視鏡逆行性膽胰管攝影術在膽囊切除術後症候群病人的診斷及治療角色
- 腹腔鏡膽囊切除術之膽道相關併發症
- The Role of Laparoscopic Cholecystectomy in Treating Gangrenous Cholecystitis
- Xanthogranulomatous Cholecystitis Combined with Gall Bladder Cancer and Cholecystogastric Fistula--A Case Report
- 非充氣式腹腔鏡膽囊切除術
- Effect of Oral Clonidine Premedication on Perioperative Hemodynamic Response and Postoperative Analgesic Requirement for Patients Undergoing Laparoscopic Cholecystectomy
- 以腹腔鏡膽囊切除術治療急性膽囊炎
頁籤選單縮合
題 名 | Primary Carcinoma of the Gallbladder: Surgical Treatment and Prognosis=原發性膽囊癌之外科治療及預後 |
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作 者 | 魏達成; 魏柏立; 游憲章; 許書劍; | 書刊名 | 慈濟醫學 |
卷 期 | 8:2 1996.06[民85.06] |
頁 次 | 頁85-90 |
分類號 | 416.247 |
關鍵詞 | 膽囊癌; 膽囊切除術; 肝切除術; Gallbladder carcinoma; Cholecystectomy; Hepatectomy; |
語 文 | 英文(English) |
中文摘要 | 為了探討膽囊癌,我們評估過去10年間36位病人的期別、治療方法及組 織形態之重要性。共有18位男性及18位女性。三分之二的病人年齡都在60歲以 上。這些病人的切除率為66.7。24位病人施行膽囊切除術。12位不能切除的病人, 其生存期間只有半年。2位第一期及3位第二期的病人都活的很好,最長的有超過 十年生存者;7位第三期的病人,平均生存顯著地縮短為18.7個月,並只有一位在 手術後生存42個月;6位第四期的病人,平均生存縮短至8.5個月;並且全部死於診斷 後2個月至3年之間;18位第五期的病人,生存期間更縮短為4.9個月,並且全部死 於14個月。關於預後最重要的因素是癌症的期別或深度,及癌症的組織形態。在 36位病人中有膽結石的有18位佔50。全部膽囊癌的五年生存率是8.3,而有切除病 例的五年生存率是12.5。在早期膽囊癌,正規的膽囊切除術通常是足夠的;在進行 性癌症,則要做更為進取的外科治療。(慈濟醫學1996;8:85-90) |
英文摘要 | In order to study primary carcinoma of the gallbladder, we retrospectively evaluated the significance of stage, methods of treatment, andhistological types on survival for 36 patients from 1983 to 1992. There were 18 males and 18 females. A cholecystectomy was performed in each of the 24patients (66.7), while the carcinoma was unresectable in 12 patients (33.3). Five patients who had had either stage I (mucosa only) or stage II (subrnucosa and muscularis) carcinoma were still alive andwell as of the latest follow up, with the longest survival among them being more than 10 years. Sevenpatients had had stage III (serosa) carcinoma. Their average duration of survival was only 18.7months, and only one of them was alive and well 42 months postoperatively. Six patients had stage IV(serosa plus lymph nodes) carcinoma, and their average duration of survival was only 8.5 months. Allstage IV patients died two months to three years after diagnosis. Eighteen patients had stage V(extension to the liver and other organs) carcinoma. Their average duration of survival was only 4.9months, and all died within 14 months. The most important factors determining prognosis were thedepth or stage of invasion and the histological type of carcinoma. Gallstones were present in 18 (50)of the 36 patients. The overall 5-year survival rate among the 36 patients was 8.3; that of the 24patients who underwent resection was 12.5. In early stage of gallbladder carcinoma, a regularcholecystectomy is usually enough. In advanced gallbladder carcinoma, however, more aggressivesurgical treatment should be considered. (Tzu Chi Med J 1996; 8: 85-90 ) |
本系統中英文摘要資訊取自各篇刊載內容。