Clinical analysis of primarily gallbladder carcinoma in 36 cases / 临床外科杂志

ABSTRACT

Objective To improve the diagnosis and therapeutic efficacy of primary gallbladder carcinoma.Method A retrospective clinical analysis was made in 36 cases of gallbladder carcinoma treated in our hospital from 1986 to 2001.Results 74.3% cases were definitely diagnosed before operation. 64% patients were accompanied with gallstone.17% cases were misdiagnosed.Ultrasonography and CT were the main method of diagnosis of gallbladder carcinoma.26 cases underwent surgical treatment with a resection rate of 55.6%.Postoperative 1 and 5 years survival rate of resection were 36% and 10%.Conclusions Radical resection is the mainstay for stage Ⅰ,Ⅱ,Ⅲ gallbladder carcinoma,and comprehensire treatment is fit for stage Ⅳ,Ⅴ.Early diagnosis and radical resection are the efficient methods for long-term survival of the patients with gallbladder carcinoma.Cholecystectomy on the time is necessary to the high-risk gallstone.