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Lymph node metastasis is rare. Patients who present with isolated RLNM have an improved survival compared with patients who present with regional and distant metastasis at diagnosis. Synchronous RLNM with the primary tumor have a poorer outcome than metachronous RLNM in the absence of distant metastasis.

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Quality of life of surviving patients following BDI compares favorably to that after uncomplicated laparoscopic cholecystectomy.