精准胆道外科手术在胆囊癌治疗中的应用效果盛银行段国斌李永利作者单位:472000河南省三门峡市中心医院【摘要】目的分析精准胆道外科手术治疗胆囊癌的效果及对患者术后恢复及生存状况的影响ꎮ方法选取胆囊癌患者196例ꎬ随机分为精准手术组和传统根治组ꎬ各98例ꎮ传统根治组予以传统胆囊癌根治术ꎬ精准手术组予以精准胆道外科手术ꎮ比较2组手术效果、RO切除率、术后恢复情况、并发症发生率和预后情况ꎮ结果与传统根治组比ꎬ精准手术组阳性淋巴数目、淋巴结清扫数目更多、RO切除率更高、首次下床活动和术后排气时间短(P<0.05)ꎻ2组并发症发生率对比无统计学差异(P>0.05)ꎮ精准手术组中位生存期长于传统根治组(P<0.05)ꎮ结论胆囊癌患者实施精准胆道外科手术可提高淋巴结清扫效果和RO切除率ꎬ加快患者术后恢复ꎬ延长生存期ꎮ【关键词】胆囊癌ꎻ精准胆道外科手术ꎻ术后恢复情况ꎻ生存状况ꎻRO切除率DOI:10.3969/j.issn.1001 ̄5930.2023.11.035中图分类号:R735.8文献标识码:A文章编号:1001 ̄5930(2023)11 ̄1888 ̄03ApplicationEffectofPreciseBiliarySurgeryintheTreatmentofGallbladderCancerSHENGYinhangꎬDUANGuobinꎬLIYongli.SanmenxiaCentralHospitalꎬSanmenxiaꎬ472000【Abstract】ObjectiveToanalyzetheeffectivenessofprecisionbiliarysurgeryinthetreatmentofgallbladdercanceranditsimpactonpostoperativerecoveryandsurvivalstatusofpatients.Methods196patientswithgallbladdercancerwereselectedandrandomlydividedintoprecisionsurgerygroupandtraditionalradicalsurgerygroupꎬwith98casesineachgroup.Thetradition ̄alradicalsurgerygroupreceivedtraditionalgallbladdercancer...