The treatment principle of gall bladder cancer

1.The surgery of gall bladder cancer cures a principle
(1)hide the concealment gall bladder cancer of sex surgical operation principle of curing for good of 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 Be in view of the fact to confirm after Shu, so the problem for facing is whether need to again go to cure for good surgical operation.If the Shu empress pathologic slice discovers cancer being swollen only invasion to glue film layer or muscle layer simplicity to go 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 a gall bladder tube of the cancer is swollen, because of position close by the gall bladder is triangle past a little bit early take place the above-mentioned lymphoid knot 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.The concealment gall bladder cancer that consequently is located on a 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 seeks medical advice usually is no longer in early days according to big religion case analysis, can get gall bladder cancer of curing for good sex excision to have 23% or so.Total top gall bladder cancer the treatment that exist to expect for 3 months some past surgeons to the gall bladder cancer entertain pessimistic an attitude in the middle of the sufferer.In recent years, because of curing for good to the gall bladder cancer for 5 years after developing of sex surgical operation Shu, 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 liver to generally cut 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 earlier period gall bladder cancer want ～only 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, when it's necessary should also clean up the Yi 12 bowels last Yi head behind lymphoid knot.
(3)later period the appeasement of the gall bladder cancer surgical operation:To the later period gall bladder cancer case surgical operation principle that can not cure for good 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' jaming sex yellow Dan 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 is gradually usually a little bit deeply and particularly a companion to have the liver door the department gradually, inside the Dan bowel lead to flow Shu often not easily carry on.Can go to lead to flow Shu inside the bridging to this kind of patient.The case that differs very much to the whole body circumstance, can also the one who go to place a tube to outside lead to flow Shu to 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.
2.Put to treat:Only be after operation used as for a kind of 3 years that case Todoroki that the assistance means is applied to or have already canned not cut off reports that the gall bladder cancer focus excision adds to put to treat, the livability is 10.1%, but have never added to put to treat to 0.The general emanation measures for the 40~50 GY in the Shu and projects namely after cutting off a focus, the adoption return the electron beam of accelerator creation, give the emanation quantity with 20~30 GYs.
3.Chemotherapy:Gall bladder cancer to various chemotherapy medicine all not it is can hardly for sensitive to observe its curative effect and lend support to a treatment after useding for Shu more.The in common use medicine contains ADM5-FU, and MMC...etc..(Six)5 years of gall bladder cancer after preparing, the existence leads very low 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, after making preparing of gall bladder resection better someone report 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.