Gallbladder cancer in a regional hospital

Autor: Juan Carlos Bernal Sprekelsen, Leonardo de Tursi Rispoldi, Javier Ballestín Vicente, Francisco José Morera Ocón, Francisco Ripoll Orts, Mario García-Granero Ximénez, José Millán Tarín, Francisco Javier Landete Molina
Rok vydání: 2009
Předmět:
Zdroj: Cirugía Española (English Edition). 86:219-223
ISSN: 2173-5077
DOI: 10.1016/s2173-5077(09)70091-2
Popis: Objectives To assess the management of gallbladder cancer (GBC) in our region. Material and methods Data on 372 patients who underwent cholecystectomy were identified from our database (January 2003 to February 2008) and 6 patients were found to have GBC. Results Four patients had incidental carcinoma, one case was preoperatively suspected, and one patient presented with jaundice and locally advanced neoplasia. The incidence was 2 per 100 000 inhabitants per year; incidental carcinoma in 1.1% of cholecystecomies. The ultrasonography showed multilithiasis in 2 patients, sludge and neoplasia in 1, gallstones more than 3 cm in 2, and tumor mass only in 1 case. T stage: one case of T0 (in situ), 1 of T1, 2 of T2, and one T4. Incidental carcinomas were reoperated on when a T2 was established: two underwent lymphadenectomy and cystic stump resection, 1 segmentectomy IVb-V and lymphadenectomy. In the preoperative suspected neoplasia a cholecystectomy, lymphadenectomy, and partial hepatic gallbladder bed resection was initially performed. Conclusions GBC has a low incidence but it will be found in 1% of cholecystectomies. There is no adjuvant treatment and T-based surgical treatment is the only opportunity to reach cure in those patients. A national GBC database would be helpful in the publication of national guidelines for this disease.
Databáze: OpenAIRE
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