Gallbladder cancer, notoriously known for its high malignancy, predominantly requires radical surgery as the treatment of choice. Although laparoscopic techniques have become increasingly prevalent in abdominal surgeries in recent years, the progress of laparoscopic techniques in gallbladder cancer is relatively slow. Due to the anatomical complexity, technical difficulty, and biological features of gallbladder cancer that is prone to metastasis and dissemination, traditional open surgery is still the main surgical approach. This study aims to reappraisal the current state of laparoscopic surgery for gallbladder cancer by appraising clinical practice and research evidence. Laparoscopic surgery for various stages of gallbladder cancer, including early, advanced, incidental, and unresectable gallbladder cancer were discussed. The promise and limitations of laparoscopic techniques are systematically explored.
胆囊癌恶性程度高，根治性手术是其首选治疗方式。近年来，腹腔镜技术在腹部外科迅速发展，在胆囊癌中也有初步尝试和应用。然而，由于胆囊癌根治性手术流程复杂、技术操作难度大且肿瘤易发生腹腔种植播散，腹腔镜技术的应用仍有较大争议，现阶段仍以传统开放手术作为胆囊癌外科治疗的主流术式。本文结合当前临床实践及循证医学研究证据，梳理国内外胆囊癌腹腔镜手术研究现状，对早期及进展期胆囊癌、意外胆囊癌及不可切除胆囊癌分别进行剖析，探讨腹腔镜技术在胆囊癌治疗中应用的前景与局限性。.