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中华肝脏外科手术学电子杂志 ›› 2025, Vol. 14 ›› Issue (02) : 158 -166. doi: 10.3877/cma.j.issn.2095-3232.2025025

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微创胆囊癌根治术的现状与思考
刘青光1,(), 耿智敏1, 张东1, 李起1   
  1. 1. 710061 西安交通大学第一附属医院肝胆外科
  • 收稿日期:2024-11-30 出版日期:2025-04-10
  • 通信作者: 刘青光
  • 基金资助:
    国家自然科学基金(62076194)陕西省重点研发计划(2021SF-016,2022-SF-606)

Current status and thinking of minimally invasive radical cholecystectomy for gallbladder cancer

Qingguang Liu1,(), Zhimin Geng1, Dong Zhang1, Qi Li1   

  1. 1. Department of Hepatobiliary Surgery, the First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, China
  • Received:2024-11-30 Published:2025-04-10
  • Corresponding author: Qingguang Liu
引用本文:

刘青光, 耿智敏, 张东, 李起. 微创胆囊癌根治术的现状与思考[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(02): 158-166.

Qingguang Liu, Zhimin Geng, Dong Zhang, Qi Li. Current status and thinking of minimally invasive radical cholecystectomy for gallbladder cancer[J/OL]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2025, 14(02): 158-166.

胆囊癌是胆道系统常见的恶性肿瘤,恶性程度高,预后极差。根治性手术切除仍是其获得治愈的潜在治疗方式。近年来,以腹腔镜手术为代表的微创手术在多种消化道肿瘤外科治疗中被广泛应用,并以其契合加速康复外科(ERAS)理念的优势而受到青睐。目前,国内外高流量医学中心已经逐渐开展以腹腔镜手术为主的微创胆囊癌根治术,并在早期胆囊癌治疗中具有良好的安全性及有效性。然而,进展期胆囊癌的外科治疗仍处于探索阶段。在推动微创胆囊癌根治术开展的同时,应注重诊疗过程标准化及规范化,以有效提高胆囊癌微创外科治疗的疗效。

Gallbladder cancer is a common malignant tumor in the biliary system, with high degree of malignancy and poor prognosis.Radical surgical resection remains the potential treatment.In recent years, minimally invasive surgery, especially laparoscopic surgery, has been widely applied in surgical treatment of multiple types of tumors of digestive tract, and it is recognized due to the advantages in accordance with the concept of enhanced recovery after surgery (ERAS).At present, high-volume medical centers at home and abroad have gradually carried out minimally invasive radical cholecystectomy,mainly laparoscopic surgery, and yielded high safety and effectiveness in the treatment of early gallbladder cancer.However, surgical treatment of advanced gallbladder cancer remains in the exploratory stage.While promoting minimally invasive radical resection of gallbladder cancer, extensive attention should be paid to the standardization of diagnosis and treatment process, aiming to effectively improve clinical efficacy of minimally invasive surgical treatment of gallbladder cancer.

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