胆囊疾病规范化诊断与治疗流程及其技术细节

Standardized diagnosis and treatment process of gallbladder disease and technical details

  • 摘要: 根据胆囊疾病的诊断与治疗现状,部分意外胆囊癌源于胆囊疾病临床诊断与治疗流程不规范,未能及时作出胆囊癌诊断,正确的术前、术中分期,最终导致R1或R2切除。笔者总结胆囊疾病规范化诊断与治疗流程及其技术细节,认为临床工作中应摒弃意外胆囊癌概念,整体看待各种胆囊良、恶性疾病,建立更加规范的诊断与治疗流程,以提高胆囊癌诊断准确性、手术根治性,切实改善胆囊癌病人预后。

     

    Abstract: Based on current diagnosis and treatment of gallbladder disease, the occur-rence of incidental gallbladder cancer is partly caused by the irregular clinical diagnosis and treatment process of gallbladder disease, which leads to the failure to make the diagnosis of gallbladder cancer in time, carry out the correct preoperative and intraoperative staging, and cause R1 or R2 resection. The authors summarize standardized diagnosis and treatment process of gallbladder disease and technical details. In clinical practice, the concept of incidental gallbladder cancer should be discarded, and various gallbladder diseases should be taken as a whole. A more standardized diagnosis and treatment process should be established to improve the diagnostic accuracy of gallbladder cancer and achieve radical resection, which eventually improve survival of patients.

     

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