nlwxpearo
Joined: 13 Dec 2010
Posts: 520
Read: 0 topics
Warns: 0/5
Location: England
|
 Posted: Sun 14:51, 06 Mar 2011 Post subject: Obstructive jaundice caused by gallbladder cancer |
|
|
Gallbladder treatment of obstructive jaundice caused by
Retention in the bile duct and intra-abdominal catheter of appropriate length were fixed in hilar tissue than normal, and the local plasma tube shunt placement, the abdomen was closed. Fixed catheter to the skin, then drainage bag. After the plasma tube can be no 3 ~ 5d removed when bile leakage. Such as catheter blockage after surgery, from the biliary duct injection to combat infection. Catheter blockage can be super stubborn sliding guide wire to clear. This technology is 144 *, abdominal surgery 2O 2007 No. 3 FuBuWaiKe, Jun. 2007,, r01.20, No. 3 traditional surgical techniques and new technology combined with surgical intervention, surgical procedures simple, surgical safety,[link widoczny dla zalogowanych], less complications, the effect is obvious, postoperative management convenience. But the simple external drainage often causes inconvenience to patients, increased economic burden, but also easy to cause water and electrolyte disorders, affect intestinal digestive function of patients. (5) Mirizzi syndrome is a result of cystic duct or gallbladder neck stone impaction caused by obstructive jaundice. It contains a number of gallbladder caused by factors such as the gallbladder mucosa of gallbladder stones Yinqi sustained damage, and then lead to ulcers and gallbladder wall fibrosis, epithelial cell defense against cancer-causing substances decreased with long-term deposition of bile, bile acids are beneficial to into proliferative substances. So on the Mirizzi syndrome, especially CA19-9 significantly increased in patients with intraoperative frozen section should be. In this way, may find some early cancer patients, to make a reliable diagnosis for early radical resection, to avoid secondary surgery. 4. To prevent and reduce local recurrence, some foreign scholars actively advocated radiotherapy as adjuvant treatment of gallbladder cancer means. Preoperative radiotherapy can improve the resection rate, and will not increase the amount of tissue fragility and bleeding; intraoperative radiotherapy positioning accuracy, reduce or avoid the normal tissues and organs by the radiation damage, for unresectable patients have a certain effect. Radiotherapy and chemotherapy in combination with the body can not only control the transfer, and radiation therapy can be a number of radiation-sensitizing agents such as 5 to improve the use of a FU. 5. Gallbladder is not sensitive to various chemotherapeutic agents, not very credible chemotherapy. At present, the commonly used drugs ADM ,5-FU, MMC and so on. Used for postoperative adjuvant therapy. It is reported that gemcitabine treatment of gallbladder cancer has a good effect, but further study is still continuing. Injection of iodized oil via the portal vein,[link widoczny dla zalogowanych], its particles gain full access to the liver capillary bed may play a partial and temporary blocking of chemotherapy tumor proliferation pathways, and have achieved a certain effect, for unresectable gallbladder carcinoma accompanied by liver transfer of a therapeutic approach to patients. In short, do not easily give up the cause of obstructive jaundice surgical intervention in patients with gallbladder cancer. On the contrary,[link widoczny dla zalogowanych], should actively create conditions for removal of lumps. No cure for patients on palliative operation should be actively lift the biliary obstruction or intervention,[link widoczny dla zalogowanych], to improve the quality of life of patients and prolong the patient's life. The following should be included in gallbladder cancer patients at high risk: women over the age of 55 gallbladder stones; years of history of cholelithiasis and repeatedly made; gallbladder stones into the nature of persistent pain, dull pain, pain,[link widoczny dla zalogowanych], a few weeks can not be alleviated, and continued gastrointestinal symptoms, weight loss and anemia; gallbladder stones who do not change with the position; B-mode ultrasound prompted irregular thickening of the gallbladder wall or wall calcification; who atrophic cholecystitis; diameter greater than 0.5cm polypoid lesions of gallbladder persons; associated with gallstone biliary enteric fistula were; biliary congenital malformation; local lymph nodes are.
The post has been approved 0 times
|
|
