Surgical Treatment of Incidental Gallbladder Cancer Discovered During or Following Laparoscopic Cholecystectomy

Tian, Yang; Ji, Xu; Liu, Bo; Yang, Guangli; Meng, Xiangjun; Hu, Xia; Wang, Jing; Huang, Zhiqiang; Dong, Jiahong

doi:10.1007/s00268-014-2864-9

Cited by 54 publications

(62 citation statements)

References 57 publications

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“…9,10 Simple laparoscopic cholecystectomy is appropriate for T1a patients with clear margins and unbroken gallbladder, whereas extended radical resection is recommended for patients with T1b or more advanced incidental gallbladder cancer. 11 An intact surgical specimen and the use of plastic retrieval bags are important in reducing the risk of port-site recurrences and disease relapse. 11 In the present case, discussions with the referring surgeon assured that the gallbladder was removed intact with no spillage of bile.…”

Section: Discussionmentioning

confidence: 99%

“…11 An intact surgical specimen and the use of plastic retrieval bags are important in reducing the risk of port-site recurrences and disease relapse. 11 In the present case, discussions with the referring surgeon assured that the gallbladder was removed intact with no spillage of bile. Early diagnosis, meticulous perioperative assessment, and precise surgery are essential factors in obtaining good results in incidental gallbladder cancer treatment.…”

Section: Discussionmentioning

confidence: 99%

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Totally Laparoscopic Hepatic Bisegmentectomy (s4b+s5) and Hilar Lymphadenectomy for Incidental Gallbladder Cancer

2015

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Totally Laparoscopic Hepatic Bisegmentectomy (s4b+s5) and Hilar Lymphadenectomy for Incidental Gallbladder Cancer

2015

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“…Se ha demostrado que en Chile, la presencia de CVB incidental en CCT por CL, generalmente en estadíos tempranos y por lo tanto de buen pronóstico, puede fluctuar entre 0,2 y 3% de los casos, incidencia que incrementa en función de la edad 25,[27][28][29][30] . Así, la CCT oportuna parece ser por ahora la única intervención que pudiera disminuir la incidencia de este cáncer 7,[31][32][33] .…”

Section: Discussionunclassified

Acceso a colecistectomía en un programa de tamizaje ecográfico de colelitiasis en centros de medicina familiar

et al. 2016

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“…5,11,13,15,[17][18][19][20][21][22]24 The result in Figure 4 shows low heterogeneity exists (χ2 = 13.24, P = 0.21, I2 = 24%), and RR is also superior to SC in terms of 5-year survival rate (OR = 3.19, 95% CI: 1.85-5.51, P<0.0001).…”

Section: Survival Rate Analysismentioning

confidence: 99%

“…5,[11][12][13][14][15][16][17][18][19][20][21][22][23][24] All the studies were non-randomized control trials. Table 1 and 2 respectively show the character of included literatures and NOS quality assessment scale.…”

Section: Characteristics Of Included Literatures and Quality Assessmentmentioning

confidence: 99%

Simple cholecystectomy versus radical resection for stage Ⅱ gallbladder cancer: a meta-analysis

Cheng

Qiu

et al. 2017

Int Surg J

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INTRODUCTIONGBC was first reported more than two hundred years ago, but the poor therapeutic effect for GBC patients is still frustrating now, the 5-year survival rate is no more than 5%, and the mean survival time is only about half a year. 1 It still relies on surgical method to treat and provide the possibilities of favorable prognosis, while auxiliary methods like radiotherapy and chemotherapy are likely to reduce the chance of tumor relapse and improve the longterm survival of GBC patients. 2 GBC patients' survival time -one of the major indicators for prognosis judgment isn't affected by sexuality, age or ABSTRACT Background: GBC was first reported more than two hundred years ago, but the poor therapeutic effect for GBC patients is still frustrating now, the 5-year survival rate is no more than 5%, and the mean survival time is only about half a year. The objective of this study was to evaluate the importance of radical resection in the treatment of Nevin II and T1b stage gallbladder cancer (stage II GBC) by analyzing the survival rate and tumor recurrence rate after accepting simple cholecystectomy (SC) and radical resection (RR). Methods: PubMed, Embase, Chinese National Knowledge Infrastructure and Wanfang databases was searched from inception to February 2016. Quality assessment was conducted in each of the available studies by using the validated Newcastle-Ottawa Quality Assessment Scale (NOS) for cohort and case-control studies. Publication bias was also assessed by using a funnel plot. The odds ratio (OR) and its 95% confidence interval (95% CI) were employed to estimated effect size. All statistical analyses were carried out using Rev Man 5.2 software. Results: A total of fifteen studies encompassing 424 patients meeting the search criteria were included. Pooled analyses revealed that comparing to simple cholecystectomy, radical resection can significantly increase the 1-, 3-and 5-year survival rate of patients with stage II GBC (OR = 3.28, 95% CI: 1.83-5.89, P<0.0001; OR = 2.52, 95% CI: 1. P = 0.0006; OR = 3.19, P<0.0001), and patients after radical resection have a significant lower tumor recurrence rate (OR = 0.30, 95% CI: 0.11-0.80, P = 0.02). Conclusions:The short-and long-term survival rate of patients with stage II GBC following radical resection is obviously higher than that of patients receiving simple cholecystectomy, and the tumor recurrence rate is obviously lower. Radical resection would be a better choice for stage II GBC.

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Surgical Treatment of Incidental Gallbladder Cancer Discovered During or Following Laparoscopic Cholecystectomy

Cited by 54 publications

References 57 publications

Totally Laparoscopic Hepatic Bisegmentectomy (s4b+s5) and Hilar Lymphadenectomy for Incidental Gallbladder Cancer

Totally Laparoscopic Hepatic Bisegmentectomy (s4b+s5) and Hilar Lymphadenectomy for Incidental Gallbladder Cancer

Acceso a colecistectomía en un programa de tamizaje ecográfico de colelitiasis en centros de medicina familiar

Simple cholecystectomy versus radical resection for stage Ⅱ gallbladder cancer: a meta-analysis

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