Early outcomes of robotic extended cholecystectomy for the treatment of gallbladder cancer

Byun, Yoonhyeong; Choi, Yoo Jin; Kang, Jung Mook; Han, Youngmin; Kim, Hongbeom; Kwon, Wooil; Jang, Jin‐Young

doi:10.1002/jhbp.717

Cited by 21 publications

(22 citation statements)

References 32 publications

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“…The diagnosis and treatment of GB lesions have been well discussed. [15][16][17][18][19][20][21] In particular, the differentiation between benign lesions and malignant lesions is a major issue of concern. Various approaches have been attempted for the accurate diagnosis of GB lesions including analysis of the enhancement pattern on contrast-enhanced US (CE-US) or contrast-enhanced EUS (CE-EUS).…”

Section: Discussionmentioning

confidence: 99%

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Efficacy of superb microvascular imaging of ultrasound for diagnosis of gallbladder lesion

Kin

Nagai

Hayashi

et al. 2020

J Hepato Biliary Pancreat

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Gallbladder (GB) cancer (GBC) is a malignancy with a poor prognosis. The 5-year survival rate of unresected GBC is approximately 0%, and the 3-year survival rate of advanced GBC remains at <20% even after curative resection. 1,2 To improve the prognosis of GBC, proper diagnosis with imaging study is essential. Gallbladder cancer usually presents as a protruded lesion or wall thickening. However, some GB lesions, such as in the case of cholecystitis or adenomyomatosis, also present as a protrusion or wall thickening. This morphological similarity causes difficulties in the differentiation of benign from malignant GB lesions in imaging study. 3 To facilitate differentiation, various imaging studies have been

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Section: Discussionmentioning

confidence: 99%

“…The diagnosis and treatment of GB lesions have been well discussed 15‐21 . In particular, the differentiation between benign lesions and malignant lesions is a major issue of concern.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of superb microvascular imaging of ultrasound for diagnosis of gallbladder lesion

Kin

Nagai

Hayashi

et al. 2020

J Hepato Biliary Pancreat

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“…A sound knowledge of vascular anatomy and potential variants is important to avoid vascular injury in both open surgery as well as laparoscopic surgery. Laparoscopic cholecystectomy is the standard treatment for benign gallbladder disease 6,7 and there is emerging evidence that supports laparoscopic cholecystectomy for the treatment of early gallbladder cancer. 6,8 At laparoscopy, vascular injury may occur either during creation of pneumoperitoneum or during dissection within Calot's triangle.…”

Section: Relevance Of Vascular Anatomymentioning

confidence: 99%

“…Laparoscopic cholecystectomy is the standard treatment for benign gallbladder disease 6,7 and there is emerging evidence that supports laparoscopic cholecystectomy for the treatment of early gallbladder cancer. 6,8 At laparoscopy, vascular injury may occur either during creation of pneumoperitoneum or during dissection within Calot's triangle. 9 Major vascular injury involves the aorta, inferior vena cava, iliac vessels, right hepatic artery, cystic artery, or the portal vein.…”

Section: Relevance Of Vascular Anatomymentioning

confidence: 99%

Vascular disorders of the gallbladder and bile ducts: Imaging findings

Hui

Loo

2021

J Hepato Biliary Pancreat

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Multimodality imaging plays a major role in the diagnosis of cholecystic and choledochal vascular disorders. The presentation of these conditions ranges from acute and potentially fatal to asymptomatic and incidental. Gallbladder hemorrhage, ischemia, and hemobilia may complicate acute cholecystitis and may also occur in other clinical settings. The radiological appearances of gangrenous cholecystitis, gallbladder hemorrhage, hemobilia, vascular malformations, and gallbladder torsion will be presented. The vascular anatomy of the bile ducts and gallbladder will be reviewed with particular reference to the communication of the choledochal and cholecystic venous drainage with the portal venous system. The imaging features of the unique vascular conditions arising as a result of this connection to the portal system will be illustrated (Table 1). | ARTERIAL SUPPLY AND VENOUS DRAINAGE OF THE GALLBLADDERThe gallbladder is supplied by both small vessels from the hepatic bed and the cystic artery, which usually arises from the right hepatic artery. The cystic artery runs toward the gallbladder in Calot's triangle, the boundaries of which are formed by the liver, common hepatic duct, and cystic duct (Figure 1a). The cystic artery passes posterior to the common hepatic duct to reach the neck of the gallbladder. 1 Variations in the artery origin are common and it may arise from the common hepatic artery (26%), from the left hepatic artery (5%), or gastroduodenal artery (2%). Rarely, it may arise from the superior pancreaticoduodenal, right gastric, celiac trunk, or superior mesenteric arteries. 1 It may also course anterior to the cystic duct and bile duct. Thrombosis of the

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“…Robotic gastrectomy has overcome some drawbacks also related to laparoscopic gastrectomy, for example; limited movements around the peripancreatic region, hand trembling. In the case of gall bladder cancer, robot extended cholecystectomy (REC) is favorable because of retrieval of some lymph nodes associated with early recovery [ 5 ]. Robotic pancreatic enucleation has been proven an efficient procedure alternative to open pancreatic enucleation used for benign or borderline pancreatic cancer.…”

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confidence: 99%