CAJ | 학술논문

目的分析LC术中胆囊癌及胆管癌误诊和漏诊.方法回顾性分析近年LC胆囊癌和胆管癌误诊和漏诊17例的病人资料,部分病人得到二次根治性切除,其他已晚期无法治疗.结果 17例中,胆囊癌14例,胆管癌3例.第四军医大学西京医院3例中,2例二次手术,1例不接受手术.门诊8例,其中3例Trocar切口种植转移,5例建议扩大手术.会诊6例,其中4例再次手术,1例不接受手术,1例转该院手术.结论 LC中有可疑病例即刻冰冻切片,术后病理诊断为癌,及时二次手术,反对标本不送病检.
목적 분석LC술중담낭암급담관암오진화루진.방법 회고성분석근년LC담낭암화담관암오진화루진17례적병인자료,부분병인득도이차근치성절제,기타이만기무법치료.결과 17례중,담낭암14례,담관암3례.제사군의대학서경의원3례중,2례이차수술,1례불접수수술.문진8례,기중3례Trocar절구충식전이,5례건의확대수술.회진6례,기중4례재차수술,1례불접수수술,1례전해원수술.결론 LC중유가의병례즉각빙동절편,술후병리진단위암,급시이차수술,반대표본불송병검.
Objective To pay close attention to and reverse the increasing trend about missed diagnosis and misdiagnosis of carcinoma of gallbladder and bile duct in laparoscopic cholecystectomy(LC). Methods By using retrospective analysis of 17 cases of missed diagnosis and misdiagnosis of carcinoma of gallbladder and bile duct in LC, their Clinical features and proposing protective measures were summarized. Results Seventeen patients including 14 with carcinoma of gallbladder and 3 with carcinoma of bile duct received various therapeutic measures according to their own conditions or aspirations. Conclusion Rapid intraoperative frozen section diagnosis is required for the cases with suspected carcinoma in LC and second operation is performed for those who are pathologically diagnosed with malignant tumor after the first one. No pathological diagnosis is strictly prohibited.