The surgery of gall bladder cancer cures a principle

(1)Hide sex surgical operation principle of curing for good of sex gall bladder cancer, hide sex gall bladder cancer means before the Shu and all has never got to visit patients at home to break in the Shu, but confirms to°from the pathologic slice a gall bladder cancer after going gall bladder resection because of the "positive" disease.In view of the fact confirm after Shu, so the problem for facing is whether need to again go to cure for good surgical operation.If the pathologic slice discovers cancer being swollen only after the Shu invasion to glue film layer or muscle layer, the simplicity goes complete gall bladder resection to already cure for good a purpose, need not go again to cure for good sex surgical operation for the second time.Gall bladder cancer of lymphoid transfer to involve in gall bladder first triangle and follow the Dan manager distribute of lymphoid knot.But Be located on a gall bladder neck, particularly is the cancer of gall bladder tube is swollen and closes to gall bladder because of position triangle, so a little bit early above-mentioned lymphoid knot happen to transfer.After the gall bladder neck cancer swollen Shu relapses a rate also show Zhao is higher than the gall bladder body bottom cancer swollen set.Therefore, Be located on the concealment gall bladder cancer of gall bladder neck, gall bladder tube, regardless it infringes upon to gall bladder wall of which layer, all should again go liver 12 bowel ligaments the surroundings lymphoid close accounts sweep Shu.For gradually the depth exceeds a muscle layer and slice the concealment gall bladder cancer that good luck masculine gender and the gall bladder triangle and lymphoid knot live check masculine gender all should go as well to cure for good surgical operation for the second time.
(2)the gall bladder cancer cure for good surgical operation;Because the gall bladder cancer sufferer usually was no longer earlier period while seeking medical advice, according to big religion the case analyzed, can get gall bladder cancer of curing for good sex excision to have 23% or so.Total top gall bladder cancer exist to expect for 3 months in the middle of the sufferer.Some past surgeons entertain pessimistic an attitude to the treatment of gall bladder cancer.In recent years, because of curing for good developing of sex surgical operation to the gall bladder cancer, after the Shu 5 year, the existence rate has already had the exaltation to show Zhao.The scope that cures for good Shu mainly includes gall bladder excision, liver part to cut off and the lymphoid close account sweep.The liver generally cuts off a gall bladder bed surrounding 3 Li rices are or so.The lymphoid close account sweeps to remit to flow path and transfer a circumstance but settle according to it.Generally clean up to transfer to pour flattering of descend a stand lymphoid knot.In early days gall bladder cancer as long as cut off gall bladder lymph knot, but the great majority can the gall bladder cancer cutting off should clean up the lymphoid knot of liver 12 bowel ligamentses, should also clean up Yi when it's necessary 12 bowels up, the Yi head Be lymphoid to knot behind.
(3)later period the appeasement of the gall bladder cancer surgical operation:For the later period that can not cure for good gall bladder cancer case, surgical operation principle in order to ease pain and sufferings, the exaltation lives quality.Later period's gall bladder cancer more outstanding problem is because cancer swollen invasion Dan way what system causes jam sex yellow Dan.The surgical operation should as far as possible consider to make inside lead to flow.Inside lead to flow a method to there is a bile duct jejunum fitting together Shu etc., but swollen because of partial cancer gradually usually more deep, is particularly a companion to have the liver door the department gradually, inside the Dan bowel lead to flow Shu often not easily carry on.To this kind of patient, can go to lead to flow Shu inside the bridging.The case that differs very much to the whole body circumstance can also go to place a tube to outside lead to flow Shu.Infringe upon severity but can not go the above-mentioned surgical operation to department in the liver door, can adopt to pare off to absorb a method to cut open right liver, look for the extending of right liver liver tube, in order to go to place a tube to lead to flow.
The existence rate of gall bladder cancer is very low in 5 years, about 2%~5%;The patient of above 80% can die in for a year inside.Only invade and glue a film and glue film bottom layer such as the gall bladder cancer, better after making preparing of gall bladder resection, someone reports a way this patient 5 year, the existence rate can reach to 40%~64%.Past prepared a quality key to lie in to diagnose in early days behind, cure in time.