Laparoscopic cholecystectomy for treatment of unexpected early‐stage gallbladder cancer

Abstract

LC for T1a and T1b gallbladder cancer needs no additional treatment, however, radical operation for T2 patients is recommended, regardless of the margin condition.

Current Management of Gallbladder Carcinoma

“…Some series support simple cholecystectomy as sufficient management [10], whereas others call for radical resection in these cases [11][12][13]. Data are scant, because these lesions are uncommon.…”

Adjuvant radio-chemotherapy after extended or simple cholecystectomy in gallbladder cancer

“…Modern surgical series in which extended cholecystectomy was carried out, mainly from Asia, reported better survival [4][5][6][7][8][9]. In patients with tumour limited to the mucosa, in which the risk of lymph node involvement is about 2.5%, simple cholecystectomy should be enough, even when a laparoscopic approach is used [10][11][12][13][14][15]. However, the risk of lymph node involvement when the tumour invades the muscle rises to 15%, which in our opinion should require more than a simple cholecystectomy, meaning extended cholecystectomy, usually through a second surgical procedure and adjuvant radio-chemotherapy (RT-CT).…”

Impact of Routine Histopathological Examination of Gall Bladder Specimens on Early Detection of Malignancy - A Study of 4,115 Cholecystectomy Specimens

“…Wang et al (2012) observed that early diagnosis and timely radical surgery are directly correlated to the prognosis of the patients. Incidental detection of gall bladder cancer in cholecystectomy specimen do has been reported in 0.3-2% of all cholecystectomy performed for benign conditions (Lam et al, 2005;Sun et al 2005;Misra et al, 2006).…”