Clinical Analysis Of Laparoscopic Chlecystectomy And Unsuspected Gallbladder Carcinoma

Objective:Through the analysis and summarizes laparoscopic cholecystectomy,gallbladder cancer patients after the accident with the clinical features andtreatment, to investigate ways to improve the prognosis of patients.Methods:Since our hospital between January2006to January2014laparoscopic cholecystectomy and found unexpected gallbladder surgery26patients were analyzed retrospectively.Results:All patients were at high risk of the incidence of gallbladder systemwhich four patients with T1lines only LC.12cases of patients with T2gallbladder radical surgery, and the remaining seven cases only line LC,refused further surgery. Two cases of patients with T3gallbladderresection, only one case of line LC, refused other treatment. Includingone case of postoperative radiotherapy in patients with stage T2. A totalof26cases were followed up6-73months, with a median follow-up of13months, with an average follow-up period (18.5±19.8) months. Thereare two cases of T2patients were lost during follow-up, lost time is5-14months.24cases were followed up patients, T1stage, T2stage, mediansurvival times were56T3months,28months,8months. Four patientshad T1survival of46-73months, with no deaths. T2lost two cases of patients were followed up for5-14months. T2line gallbladder resectionof11cases were followed up for a mean survival of49(52.22±33.32)months,5patients died. T2only line of LC patients were followed up tosix cases, with an average survival time of20(21.45±11.22) months,four patients died.2cases of T3gallbladder cancer patients with radicalsurgery, survival of8-14months, only one case of T3patients underwentLC patients survive six months. Three groups of survival data forstatistical analysis, the difference is not statistically significant (P=0.182P=0.49P=0.178).Conclusion:For gallbladder cancer risk groups, should try to improve therelevant preoperative examination and careful analysis of the test results.Intraoperative careful exploration, and sectioned specimens carefullychecked for suspicious persons should immediately rapid intraoperativepathology, this can effectively prevent its omission. For unexpectedgallbladder cancer stage T1, the only viable LC, for T2gallbladder shouldbe based on the patient’s own circumstances, such as the line should be notaboos gallbladder radical surgery can significantly improve the prognosisfor T3and more advanced stage of gallbladder underwent gallbladdersurgery to cure poor efficacy, feasibility other adjuvant therapy.