Laparoscopic cholecystectomy and gallbladder cancer

Reliability of frozen section diagnosis of gallbladder tumor for detecting carcinoma and depth of its invasion

“…Some recommended the procedure for a laparoscopic excisional biopsy of the gallbladder [13]. Others proposed that whenever gallbladder carcinoma is suspected, open cholecystectomy should be done [11,12,[15][16][17][18][19][20]. The timing of the second operation is important in gallbladder carcinoma because of the early and rapid recurrence.…”

“…The surgical problems concerning suspected or unsuspected gallbladder carcinoma are almost the same at the era of open and laparoscopic cholecystectomies, except for early port-site recurrence of gallbladder carcinoma [15][16][17][18][19][20][21][22][31][32][33][34][35][36][37][38][39][40][41][42][43][44], which is not seen at the era of open cholecystectomy. It is not well known if to excise the trocar sites is enough or not because peritoneal dissemination occurs simultaneously.…”