Laparoscopic cholecystectomy in the treatment of patients with gallbladder cancer1
| Autor: | Toshifumi Matsumoto, Yuji Morii, Seigo Kitano, Tetsuya Ishio, Takanori Yoshida, Toshio Bandoh, Atsushi Sasaki |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
medicine.medical_specialty
business.industry Gallbladder medicine.medical_treatment Retrospective cohort study urologic and male genital diseases medicine.disease Primary tumor Surgery medicine.anatomical_structure medicine Carcinoma Cholecystectomy Gallbladder cancer Radical surgery business Survival rate |
| Zdroj: | Journal of the American College of Surgeons. 191:158-163 |
| ISSN: | 1072-7515 |
| Popis: | Background: Surgical procedures based on the depth of the primary tumor invasion (pT category) have been proposed in the treatment of gallbladder cancer (GBC). Trocar site metastases have been reported in patients who underwent laparoscopic cholecystectomy (LC) for preoperatively undiagnosed GBC. Study Design: The aim of this study was to clarify the role of LC as a surgical strategy for GBC. From 1986 to 1998, 56 patients with GBC underwent surgical resection. Survival rates were compared retrospectively according to pT category and use of LC. Results: Five-year survival was 91% for pT1 (n = 13), 64% for pT2 (n = 25), 34% for pT3 (n = 14), and 0% for pT4 tumors (n = 4; p Conclusions: LC may help to establish the diagnosis and to determine the surgical strategy for undiagnosed GBC. It is important to prevent spillage or implantation of malignant cells during LC. For pT2 or pT3 tumors diagnosed laparoscopically, a second or converted open radical surgery is necessary. |
| Databáze: | OpenAIRE |
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