Laparoscopic approach to suspected T1 and T2 gallbladder carcinoma
Open Access
- 1 January 2017
- journal article
- Published by Baishideng Publishing Group Inc. in World Journal of Gastroenterology
- Vol. 23 (14), 2556-2565
- https://doi.org/10.3748/wjg.v23.i14.2556
Abstract
To evaluate a laparoscopic approach to gallbladder lesions including polyps, wall-thickening lesions, and suspected T1 and T2 gallbladder cancer (GBC). We performed 50 cases of laparoscopic whole-layer cholecystectomy (LCWL) and 13 cases of laparoscopic gallbladder bed resection (LCGB) for those gallbladder lesions from April 2010 to November 2016. We analyzed the short-term and long-term results of our laparoscopic approach. The median operation time was 108 min for LCWL and 211 min for LCGB. The median blood loss was minimal for LCWL and 28 ml for LCGB. No severe morbidity occurred in either procedure. Nine patients who underwent LCWL and 7 who underwent LCGB were postoperatively diagnosed with GBC. One of these patients had undergone LCGB for pathologically diagnosed T2 GBC after LCWL. All of the final surgical margins were negative. Three of these 15 patients underwent additional open surgery. The mean follow-up period was 26 mo, and only one patient developed recurrence. LCWL and LCGB are safe and useful procedures that allow complete resection of highly suspected or early-stage cancer and achieve good short-term and long-term results.Keywords
This publication has 36 references indexed in Scilit:
- Regional lymphadenectomy for gallbladder cancer: Rational extent, technical details, and patient outcomesWorld Journal of Gastroenterology, 2012
- Pre-operative factors that can predict neoplastic polypoid lesions of the gallbladderWorld Journal of Gastroenterology, 2011
- Laparoscopic completion radical cholecystectomy for T2 gallbladder cancerSurgical Endoscopy, 2010
- Management Strategies for Gallbladder Polyps: Is It Possible to Predict Malignant Gallbladder Polyps?Gut and Liver, 2008
- Should the extrahepatic bile duct be resected for locally advanced gallbladder cancer?Surgery, 2004
- Surgical Treatment of Patients with T2 Gallbladder Carcinoma Invading The Subserosal LayerJournal of the American College of Surgeons, 2001
- Incidence of port site recurrence after laparoscopic cholecystectomy for preoperatively unsuspected gallbladder carcinomaSurgery, 1998
- How should polypoid lesions of the gallbladder be treated in the era of laparoscopic cholecystectomy?Surgery, 1995
- Identification of the regional lymphatic system of the gallbladder by vital stainingBritish Journal of Surgery, 1992
- Relationship between gallbladder carcinoma and the segmental type of adenomyomatosis of the gallbladderCancer, 1992