Timing of radical surgery in patients with postoperative incidentally discovered gallbladder cancer

Xin-wei Yang, Yu-long Li, Jing Du, Zhi-jian Wen, Jue Yang, P. Yang, Bao-hua Zhang
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Abstract

Objective To compare the tumor characteristics and survival between postoperative incidentally discovered gallbladder cancer (ID-GBC) and preoperatively suspected gallbladder cancer (PS-GBC). Methods The data of 276 GBC patients who underwent surgical resection with curative intent between January 2004 and December 2014 at the Eastern Hepatobiliary Surgery Hospital were retrospectively analyzed. Results The 1-, 3-, and 5-year cumulative survival rates of the ID-GBC group (88.8%, 52.2%, and 33.0%, respectively) were significantly better than those in the PS-GBC group (57.5%, 25.7%, and 16.6%, P 0.05). Conclusions Postoperative ID-GBC had significantly better survival outcomes than PS-GBC. Reoperation within two weeks in patients with ID-GBC is a good strategy. Key words: Gallbladder neoplasms; Prognosis; Incidental gallbladder cancer; Treatment strategy; Reoperation
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术后偶然发现胆囊癌患者根治性手术的时机选择
目的比较术后偶然发现胆囊癌症(ID-GBC)与术前怀疑胆囊癌症(PS-GBC)的肿瘤特征及生存率。方法回顾性分析2004年1月至2014年12月在东部肝胆外科医院接受手术切除的276例GBC患者的资料。结果ID-GBC组1、3、5年累计生存率(分别为88.8%、52.2%、33.0%)明显优于PS-GBC组(57.5%、25.7%、16.6%,P<0.05)。ID-GBC患者两周内再次手术是一个很好的策略。关键词:胆囊肿瘤;预后;附带胆囊癌症;治疗策略;重新操作
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来源期刊
中华肝胆外科杂志
中华肝胆外科杂志 Medicine-Gastroenterology
CiteScore
0.20
自引率
0.00%
发文量
7101
期刊介绍: Chinese Journal of Hepatobiliary Surgery is an academic journal organized by the Chinese Medical Association and supervised by the China Association for Science and Technology, founded in 1995. The journal has the following columns: review, hot spotlight, academic thinking, thesis, experimental research, short thesis, case report, synthesis, etc. The journal has been recognized by Beida Journal (Chinese Journal of Humanities and Social Sciences). Chinese Journal of Hepatobiliary Surgery has been included in famous databases such as Peking University Journal (Chinese Journal of Humanities and Social Sciences), CSCD Source Journals of China Science Citation Database (with Extended Version) and so on, and it is one of the national key academic journals under the supervision of China Association for Science and Technology.
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