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find Author "曾琦惠" 2 results
  • Interpretation of “Expert consensus on the laparoscopic radical resection of gallbladder cancer (2023)”

    The Expert Consensus on Radical Laparoscopic Cholecystectomy (2023) was formulated by the Biliary Surgery Group of the Chinese Medical Association Surgery Branch and the Biliary Surgery Expert Working Group of the Surgeons Branch of the Chinese Medical Doctor Association, and was first published in the Chinese Journal of Surgery in April 2024. In this consensus, relevant experts discussed and formulated relevant recommendations on the operation process of radical laparoscopic cholecystectomy for gallbladder cancer, and elaborated on many issues. This article puts forward relevant suggestions and issues on this expert consensus to interpret and explore, in order to further understand the Expert Consensus on radical laparoscopic cholecystectomy (2023). It also has an infinite prospect for laparoscopic radical cholecystectomy.

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  • 以反复黄疸为临床表现的胆总管下段癌1 例报道并文献复习

    目的 总结 1 例以反复黄疸为临床特点的胆总管下段癌的不典型临床表现、诊断方法及治疗方式。方法对 2020 年 8 月四川大学华西医院收治的 1 例胆总管下段癌患者的临床资料及诊疗经过进行回顾性分析,并进行相关文献复习,总结该病的诊断方法及治疗方式。结果 该例患者以反复黄疸为临床表现,术前常规检查诊断困难,最后经穿刺活检明确为恶性肿瘤,行胰十二指肠切除术,术后组织病理学检查诊断为胆总管下段癌。手术时间 297 min,术中出血量约 200 mL,手术过程顺利。术后无并发症发生,于术后第 11 天出院。术后已随访 6 个月,无不适症状,继续随访。文献复习显示,Vater 壶腹周围肿瘤的具体分型常常根据临床表现及影像学检查进行初步区分,胆总管下段癌以反复黄疸为临床表现者较为罕见,最后确诊需依靠手术切除标本的组织病理学检查。结论 胆总管下段癌的恶性程度高,预后差。临床表现不典型的胆总管下段癌,难以早期明确诊断,导致治疗方式选择困难,由此可能会导致患者手术时机延误,内镜或超声引导下的穿刺活检是早期诊断的有效方法之一。

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