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随着LC的普及 ,意外胆囊癌因其极易发生转移、预后极差而引起人们关注。文献报道LC的UGC发生率在 0 15 %～ 2 85 %之间 ,高龄、结石病史长等胆囊癌高危因素与UGC相关。切口种植转移为典型的临床病理表现 ,从一系列临床与基础相关研究发现 ,LC的术中操作和人工气腹对种植转移起着重要作用。国内外学者对UGC的处理提出了各自的观点 ,尚需更多临床资料的验证。外科医师应当警惕UGC并积极预防切口种植的发生。
With the popularization of LC, unexpected gallbladder cancer causes its concern due to its extremely easy metastasis and poor prognosis. The incidence of UGC in LC was reported in the literature between 0 15% -2 85%. The high risk factors for gallbladder cancer such as advanced age and long history of stone disease were associated with UGC. Notch incision and metastasis as a typical clinical and pathological manifestations, from a series of clinical and basic research found that LC intraoperative and artificial pneumoperitoneum plays an important role in plant transfer. Domestic and foreign scholars put forward their own views on the treatment of UGC, still need more clinical data validation. Surgeons should be wary of UGC and actively prevent incision implantation.