Oncologic safety of laparoscopic radical cholecystectomy in pT2 gallbladder cancer

Navarro, Jonathan; Kang, Il‐Mo; Hwang, Ho Kyoung; Yoon, Dong Sup; Lee, Woo Jung; Kang, Chang Moo

doi:10.1097/md.0000000000020039

Cited by 26 publications

(29 citation statements)

References 37 publications

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“…If there is a possibility of bladder invasion of the urethra, the total urethra should be removed intraoperatively in combination. In younger male patients who require preservation of sexual function, intraoperative care should also be taken to protect the associated nerve and vascular tissues [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Effect of Radical Laparoscopic Surgery and Conventional Open Surgery on Surgical Outcomes, Complications, and Prognosis in Elderly Patients with Bladder Cancer

Chen

Pan

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Background. Bladder cancer is a common malignant tumor of the urinary system in the clinic. It has multiple lesions, easy recurrence, easy metastasis, poor prognosis, and high mortality. Objective. The aim of this study is to investigate the impact of laparoscopic radical cystectomy (LRC) and open radical cystectomy (ORC) on the surgical outcome, complications, and prognosis of elderly patients with bladder cancer. Materials and Methods. One hundred elderly bladder cancer patients who underwent surgery in our hospital from June 2019 to June 2021 were selected for the retrospective study and were divided into 50 cases each in the ORC group and the LRC group according to the different surgical methods. The ORC group was treated with ORC, and the LRC group implemented LRC treatment. The differences in surgery, immune function, recent clinical outcomes, and complications between the two groups were observed and compared. Results. The mean operative time, mean intraoperative bleeding, intraoperative and postoperative transfusion rate, and transfusion volume of patients in the LRC group were statistically significant when compared to the ORC group. The differences in the meantime to resume eating, time to get out of bed, mean number of days in hospital after surgery, and the amount of postoperative numbing analgesics used by patients in the LRC group after surgery were statistically significant compared to the ORC group ( P < 0.05 ). There was no statistically significant difference in the comparison of immune function between the two groups before surgery ( P > 0.05 ), while the comparison of CD8+ and B cells 1 week after surgery of the LRC group was significantly better than that of the ORC group ( P < 0.05 ), and the operation time of the LRC group was longer than that of the ORC group ( P < 0.05 ). Statistical analysis of postoperative complications showed that the overall incidence of postoperative complications in the LRC group was significantly lower than that in the ORC group (16.67% vs. 46.67%) ( P < 0.05 ). Conclusion. LRC has less surgical trauma and intraoperative bleeding, faster postoperative recovery, and fewer postoperative complications, providing some reference for clinical surgery for elderly bladder cancer patients.

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Section: Discussionmentioning

confidence: 99%

Effect of Radical Laparoscopic Surgery and Conventional Open Surgery on Surgical Outcomes, Complications, and Prognosis in Elderly Patients with Bladder Cancer

Chen

Pan

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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“…The gallbladder was considered to be free of liver invasion, and cholecystectomy was performed by peeling off the gallbladder plate instead of combine liver wedge resection. The effect of combined liver resection in radical cholecystectomy is still controversial, but recent studies [ 18 - 20 ] have shown no difference in survival, and further studies are needed.…”

Section: Discussionmentioning

confidence: 99%

Curative intent radical cholecystectomy followed by hyperthermic intraperitoneal chemotherapy in ruptured intraductal papillary neoplasm of gallbladder with invasive carcinoma

Choi

Jang

Choi

et al. 2022

Ann Hepatobiliary Pancreat Surg

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Gallbladder cancer has a poor prognosis, especially in peritoneal carcinomatosis related to perforation of the gallbladder followed by bile spillage. Previously, curative-intent treatment was not considered in carcinomatosis from cancer of the biliary tract. A 72-year-old male was referred to the hospital with a perforated gallbladder cancer. Intraoperatively, the tumor was confined to the gallbladder and liver. We presented a case of intention-to-curative resection of perforated gallbladder cancer followed by intraoperative hyperthermic intraperitoneal chemotherapy.

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“…Interestingly, this same group also compared these outcomes to laparoscopic radical cholecystectomy and reported a significant decrease in operative time, estimated blood loss, and length of stay. However, these benefits were at the cost of a significant decrease in lymph node retrieval [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

Robotic Surgery for Biliary Tract Cancer

Kone

Bystrom

Maker

2022

Cancers

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Biliary tract cancer consists of cholangiocarcinoma (CC) and gallbladder cancer (GBC). When resectable, surgery provides the best chance at long-term survival. Unfortunately, surgery for these tumors is associated with long operative times, high morbidities, and prolonged hospital stays. Minimally invasive surgery has been shown to impact selected outcomes, including length of stay, in other diseases, and robotic surgery may offer additional advantages compared to laparoscopic surgery in treating bile duct cancers. This is a systematic review of robotic surgery for biliary tract cancer. Predetermined selection criteria were used to appraise the literature. The PRISMA guidelines were followed. In total, 20 unique articles with a total of 259 patients with biliary tract cancer undergoing robotic surgery met the inclusion criteria. For CC and GBC, respectively, the weighted average operative time was 401 and 277 min, the estimated blood loss was 348 and 260 mL, the conversion rate to open was 7 and 3.5%, the all-cause morbidity was 52 and 9.7%, the major morbidity was 12 and 4.4%, the perioperative mortality was 1.4 and 0%, the length of stay was 15 and 4.8 days, the positive margin rate was 27 and 9%, and the number of lymph nodes retrieved was 4.2 and 8. Robotic surgery for biliary tract cancer appears non-inferior to open surgery when compared to the published contemporary data. However, the current literature on the topic is of low quality, and future prospective/randomized studies are needed.

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Oncologic safety of laparoscopic radical cholecystectomy in pT2 gallbladder cancer

Cited by 26 publications

References 37 publications

Effect of Radical Laparoscopic Surgery and Conventional Open Surgery on Surgical Outcomes, Complications, and Prognosis in Elderly Patients with Bladder Cancer

Effect of Radical Laparoscopic Surgery and Conventional Open Surgery on Surgical Outcomes, Complications, and Prognosis in Elderly Patients with Bladder Cancer

Curative intent radical cholecystectomy followed by hyperthermic intraperitoneal chemotherapy in ruptured intraductal papillary neoplasm of gallbladder with invasive carcinoma

Robotic Surgery for Biliary Tract Cancer

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