Radiofrequency ablation of gallbladder bed in radical surgery for stage T1b gallbladder cancer

Q4 Medicine

中华肝胆外科杂志 Pub Date : 2020-01-28 DOI:10.3760/CMA.J.ISSN.1007-8118.2020.01.010

Guoming Li, Wen-bing Sun, S. Ke, Shigang Guo

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Abstract

Objective To study the value of radiofrequency ablation of gallbladder beds in radical surgery for stage T1b gallbladder cancer. Methods A retrospective study was conducted on 21 patients with stage T1b gallbladder cancer treated in the Department of Hepatobiliary Pancreas and Spleen Surgery, West Campus, Beijing Chaoyang Hospital, Capital Medical University, from April 1, 2011 to March 31, 2019. Patients who were diagnosed with frozen section during operation were included into the surgery group. Patients who were diagnosed postoperatively and underwent radical surgery for the gallbladder carcinoma were included in the secondary surgery group. The differences in surgical time, bleeding volume, survival rate, and survival time between the two groups after regular follow-up were compared, and the 5-year cumulative survival rates and overall survival time of the two groups were calculated. Results All patients underwent radical gallbladder cancer surgery. There were 14 males and 7 females, aged from 26 to 70 (49.0±13.5) years. There were no perioperative deaths. There were 15 patients in the operation group, and 6 patients in the secondary surgery group. The bleeding volume of the surgery group was significantly less than the secondary surgery group [(101.3±35.5) ml vs. (177.0±44.6) ml, P 0.05). The 5-year cumulative survival rate for the two groups of patients was 56.5%, and the overall survival time was (79.0±9.3) months. Conclusions Radiofrequency ablation of the gallbladder bed was safe and effective in radical surgery of T1b gallbladder cancer. For T1b stage gallbladder cancer, which is difficult to diagnose during surgery, secondary radical surgery achieved the same results as primary radical surgery. Key words: Gallbladder neoplasms; Radiofrequency ablation; T1b stage; Gallbladder bed

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胆囊床射频消融在T1b期胆囊癌根治性手术中的应用

目的探讨胆囊床射频消融在T1b期胆囊癌根治术中的应用价值。方法回顾性分析2011年4月1日至2019年3月31日在首都医科大学北京朝阳医院西校区肝胆胰脾外科治疗的21例T1b期胆囊癌患者的临床资料。术中诊断为冰冻切片者为手术组。术后确诊并行根治性胆囊癌的患者为二次手术组。比较两组定期随访后手术时间、出血量、生存率、生存时间的差异，计算两组5年累计生存率和总生存时间。结果所有患者均行根治性胆囊癌手术。男性14例，女性7例，年龄26 ~ 70岁(49.0±13.5)岁。无围手术期死亡。手术组15例，二次手术组6例。手术组出血量明显少于二次手术组[(101.3±35.5)ml vs(177.0±44.6)ml, P < 0.05]。两组患者5年累计生存率为56.5%，总生存时间为(79.0±9.3)个月。结论胆囊床射频消融术在T1b胆囊癌根治术中安全有效。对于手术中难以诊断的T1b期胆囊癌，继发根治术与原发性根治术效果相同。关键词:胆囊肿瘤;射频消融术;T1b阶段;胆囊床

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来源期刊

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.