Surgical results of operations for carcinoma of the gallbladder

Citation
M. Yamamoto et al., Surgical results of operations for carcinoma of the gallbladder, HEP-GASTRO, 46(27), 1999, pp. 1552-1556
Citations number
18
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Gastroenerology and Hepatology","da verificare
Journal title
HEPATO-GASTROENTEROLOGY
ISSN journal
0172-6390 → ACNP
Volume
46
Issue
27
Year of publication
1999
Pages
1552 - 1556
Database
ISI
SICI code
0172-6390(199905/06)46:27<1552:SROOFC>2.0.ZU;2-W
Abstract
We evacuated the surgical results for carcinoma of the gallbladder. Between 1971 and 1995 we treated 258 patients, 74 of whom were treated with simple cholecystectomy, 71 with extended cholecystectomy, and 24 with more extend ed operations. The tumors were classified according to the stage proposed b y the Japanese Society of Biliary Surgery. For m and pm carcinoma simple ch olecystectomy may have an excellent result. However, it is difficult to kno w cancer depth exactly before or during operation, especially when combined with inflammation due to gallstones. In Stage I disease, extended cholecys tectomy had an excellent result. So extended cholecystectomy is needed even in the early stage of the disease. Second operation is needed in inapparen t carcinoma of the gallbladder if the tumor is more than pm or the margin i s positive. More extended operations may be needed in advanced stages for c urative resection. Extended hepatic lobectomy combined with pancreaticoduod enectomy should be indicated only if the patients are in good condition bec ause of its high postoperative mortality and morbidity without a significan t improvement in survival.