Die chirurgische Therapie des fortgeschrittenen Gallenblasen — Karzinoms

Is There a Role for Cholecystectomy in Gallbladder Carcinoma Discovered to be Unresectable for Cure at Laparotomy?

“…Several studies have stated that there is no role of cytoreductive surgery in GBC [20][21][22]. For example, no patient survived after 5 years after an R1 resection in the 20-year experience of the Massachusetts General Hospital [20], and the mean survival after R1 or R2 resection was 4.5 months in pT3 GBC and 2.4 months in pT4 GBC in the Munich study [21]. Biliary decompression and gastroenterostomy does not prolong postoperative survival time, although jaundice and symptoms of upper digestive tract obstruction are alleviated [23].…”

“…The median survival time for patients presenting with unresectable GBC is 2 to 4 months, with a 1-year survival rate \5% [18,19]. Several studies have stated that there is no role of cytoreductive surgery in GBC [20][21][22]. For example, no patient survived after 5 years after an R1 resection in the 20-year experience of the Massachusetts General Hospital [20], and the mean survival after R1 or R2 resection was 4.5 months in pT3 GBC and 2.4 months in pT4 GBC in the Munich study [21].…”