How to treat gallbladder cancer in the late stage

The treatment of gallbladder cancer is an issue that many people are concerned about. If there are patients with gallbladder cancer around us, I believe many people are not unfamiliar with this disease. Surgical treatment is a common method in our lives, but in the process of treating the disease, patients should also take the right medicine for their condition.

(1) Simple cholecystectomy is suitable for Nevin stage I and UICCI lesions. These lesions are usually found in gallbladder cancer after cholecystectomy due to gallstones and cholecystitis. If the cancer cells are confined to the gallbladder mucosa, no further surgery is necessary. If the pathological examination shows positive serosa at the resection margin, another surgery should be performed to remove the serosa and clear the local lymph nodes.

(2) Radical resection of gallbladder cancer is suitable for Nevin stage II, III, IV and UICC stage II lesions. In addition to the gallbladder, the resection range also includes wedge resection of the liver 2 cm away from the gallbladder bed and lymph node dissection in the gallbladder drainage area, but resection of segment IVb (quadratic lobe) and segment V of the liver is more reasonable and consistent with anatomy.

(3) Extended radical resection of gallbladder cancer has been reported in more and more successful surgical treatments for Nevin stage III and IV and uiccrrI and IVA lesions both at home and abroad. In addition to radical resection, the scope of resection also includes right hemiliver or right trisegment liver resection, pancreaticoduodenectomy, and hepatic artery or (and) portal vein reconstruction, but the surgery is very traumatic.

(4) Palliative surgery is suitable for other complications caused by advanced gallbladder cancer (Nevin stage V, UiCC stage IV), such as obstructive jaundice and duodenal obstruction, to relieve symptoms. Drainage of the bile duct can be performed by common hepatic duct jejunostomy or left hepatic duct jejunostomy via the round ligament approach. Patients who cannot undergo surgery can undergo percutaneous drainage, liver puncture, or endoscopic placement of an internal support tube in the stenosis. Patients with duodenal obstruction can undergo gastrojejunostomy.

To treat gallbladder cancer, you must choose a professional treatment method. The treatment of any disease requires the patient's active cooperation. Gallbladder cancer is not an incurable disease. Patients must pay attention to the disease and receive treatment as early as possible to ensure the treatment effect of the disease and control the disease faster.