2020
DOI: 10.1590/0102-672020190001e1496 View full text |Buy / Rent full text
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Abstract: Background: Incidental gallbladder cancer is defined as a cancer discovered by histological examination after cholecystectomy. It is a potentially curable disease. However, some questions related to their management remain controversial and a defined strategy is associated with better prognosis. Aim: To develop the first evidence-based consensus for management of patients with incidental gallbladder cancer in Brazil. Methods: Sixteen questions were selected, and 36 Brazilian and International members were… Show more

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“…Antibiotic prophylaxis does not replace any of the other preventive care of SSI and should not be seen in isolation in preventing it, but rather as part of a set of factors based on both the patient and the surgical procedures. Examples of the former may be extremes of age, immunosuppression, diabetes mellitus 12 , perioperative glycemic control, chronic disease 14 , smoking, prolonged hospitalization, MRSA (methicillin-resistant Staphylococcus aureus ) colonization, coexisting infections in other locations, poor nutritional status or obesity. Factors inherent to the procedures include skin antisepsis, correct surgical technique, adequate hemostasis, maintenance of body temperature, operating time, sterilization of surgical materials and equipment, and positive pressure ventilation in the operating room 13 , 17 , 26 .…”
Section: Resultsmentioning
“…The association of wall thickness with pathological stages IGBC is defined as carcinoma of gallbladder diagnosed first time on histopathological examination after cholecystectomy done for benign gallbladder disease without clinico-radiological and intraoperative suspicion of malignancy [4,5]. The incidence of IGBC is reported to be 0.2% to 3.3% of all cholecystectomies specimen of benign gallbladder disease [5,6,[8][9][10][11]. This range is due to the geographical and racial heterogenous distribution of gallbladder malignancies worldwide [3].…”
Section: Discussionmentioning
“…Incidental gallbladder carcinoma (IGBC) is defined as cancer discovered at the time of histopathological examination of the specimen after cholecystectomy done for benign gallbladder disease without clinicoradiological and intraoperative suspicion of malignancy [1,5]. Studies have shown that the incidence of IGBC ranges from 0.2% to 3.3% in all cholecystectomies specimen of benign disease [6].…”
Section: Introductionmentioning
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“…Minimally invasive blood markers have gained importance due to the facility for screening and monitoring patients 3 , 4 , 14 . The carcinoembryonic antigen (CEA) is the most used in CCR, however its serum value may suggest, but not confirm the diagnosis or metastasis of cancer 20 , 14 .…”
Section: Introductionmentioning