Gallbladder cancer surgery
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Vamsikrishna Gunnam M.B.B.S [2]
Overview
Surgery is the only mainstay of treatment for gallbladder cancer.
Surgery
- Surgical intervention is not recommended for the management of gallbladder cancer
- Complete surgical tumour resection is the only curative treatment but is mostly challenging because of the anatomically postion of the gallbladder
- Glenn and Hays was first proposed ''radical cholecystectomy'' in 1954 in which along with the gallbaldder a small rim of the liver poarenchyma and lymphatic tissue were excised [1]
- in 1982 An “extended radical cholecystectomy” was proposed in which lymphatic tissue, posterosuperior head of the pancreas, common hepatic artery, gallbladder and a rim of liver parenchyma are excised
- During the surgery morbidity and mortality were increased by incising the gallbladder or spilling its contents.
- Generally open procedure is recommended rather than laparoscopic procedure[2]
T1 stage gallbladder cancer
- T1b: Rather than Simple cholecystectomy a radical approach is more benificial
T2 stage gallbladder cancer
- Extended cholecystectomy is the idle choice of surgery for patients with T2 stage.[5]
References
- ↑ Sakata J, Shirai Y, Wakai T, Ajioka Y, Hatakeyama K (2010). "Number of positive lymph nodes independently determines the prognosis after resection in patients with gallbladder carcinoma". Ann. Surg. Oncol. 17 (7): 1831–40. doi:10.1245/s10434-009-0899-1. PMID 20077022.
- ↑ Weiland ST, Mahvi DM, Niederhuber JE, Heisey DM, Chicks DS, Rikkers LF (2002). "Should suspected early gallbladder cancer be treated laparoscopically?". J. Gastrointest. Surg. 6 (1): 50–6, discussion 56–7. PMID 11986018.
- ↑ Yamaguchi K, Chijiiwa K, Ichimiya H, Sada M, Kawakami K, Nishikata F, Konomi K, Tanaka M (1996). "Gallbladder carcinoma in the era of laparoscopic cholecystectomy". Arch Surg. 131 (9): 981–4, discussion 985. PMID 8790169.
- ↑ Shoup M, Fong Y (2002). "Surgical indications and extent of resection in gallbladder cancer". Surg. Oncol. Clin. N. Am. 11 (4): 985–94. PMID 12607584.
- ↑ Coburn NG, Cleary SP, Tan JC, Law CH (2008). "Surgery for gallbladder cancer: a population-based analysis". J. Am. Coll. Surg. 207 (3): 371–82. doi:10.1016/j.jamcollsurg.2008.02.031. PMID 18722943.