Retrospective comparison of outcomes of laparoscopic and open surgery for T2 gallbladder cancer – Thirteen-year experience

Jang, Jae Yool; Han, Ho‐Seong; Yoon, Yoo Seok; Cho, Jai Young; Choi, Young Rok

doi:10.1016/j.suronc.2019.05.007

Cited by 33 publications

(42 citation statements)

References 29 publications

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“…Feng et al [10] conducted a comparative analysis of open (61 patients) versus laparoscopic (41 patients) cholecystectomy and radical cholecystectomy for Tis-T3 GBC and found no differences between the two approaches in terms of lymph node retrieval and survival outcomes. Similar results were reported in the retrospective comparative series (open vs. laparoscopic approach) published by Jang et al [11] and Dou et al [12] In the study by Agarwal et al [13] , also analysed in a retrospective comparative design were the outcomes of GBC patients (with limited liver infiltration or incidental diagnosis) who underwent laparoscopic radical resection versus those of patients who underwent open radical cholecystectomy during the same period. They concluded that laparoscopic radical cholecystectomy is safe and feasible in selected patients with GBC and can offer similar results as open approach.…”

Section: Discussionsupporting

confidence: 77%

“…This scepticism is historically related to the fear of tumour dissemination due to bile spillage, tumour manipulation during laparoscopy, possible tumour peritoneal implantation due to the pneumoperitoneum as well as to technical difficulties related to liver resection and to the achievement of an adequate clearance of lymph nodes. Recently, some reports have advocated the minimally invasive surgical treatment of clinically suspected or incidentally diagnosed GBC, highlighting the feasibility and apparent safety of this approach [8][9][10][11][12][13] . Nevertheless, only few authors have reported on the feasibility and outcomes of the surgical treatment of GBC by a robotic approach, which has the potential to facilitate, by the articulated instrumentations and magnified 3D view, the accomplishment of the procedure and the locoregional lymphadenectomy needed to obtain a radical resection and an accurate staging of the resected patients.…”

Section: Introductionmentioning

confidence: 99%

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Robotic surgery of gallbladder cancer

Belli¹,

Patrone²,

Albino³

et al. 2020

Mini-invasive Surg

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Aim: The aim of this study was to describe our technique for the surgical treatment of clinically suspected or incidentally diagnosed gallbladder cancer (GBC) and to report the outcomes of our experience. Methods: This is a retrospective observational study including consecutive patients operated by a robotic approach for the surgical treatment of clinically suspected or incidentally diagnosed GBC (with the intent of radical reresection after index cholecystectomy) performed between January 2017 and December 2019. Clinical outcomes and technical details related to the robotic approach were analyzed. Results: During the study period, 8 patients underwent robotic radical cholecystectomy with lymphadenectomy and atypical resection of segments IVb-V. No conversion or major complications occurred intraoperatively. All patients underwent a radical resection. There were one Clavien-Dindo grade II and one grade IIIb complication. Median hospital stay was 6 days (range 5-11). At a median follow-up of 17.5 months (range 29.3-7.3), all patients are alive and free from disease except one who had peritoneal recurrence and underwent chemotherapy. No trocar site recurrence was observed. Conclusion: The present study describes a standardized step-by-step robotic technique for the surgical treatment of GBC and demonstrates the feasibility and safety of the robotic approach. More data and multicentre series are

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Section: Discussionsupporting

confidence: 77%

Section: Introductionmentioning

confidence: 99%

Robotic surgery of gallbladder cancer

Belli¹,

Patrone²,

Albino³

et al. 2020

Mini-invasive Surg

View full text Add to dashboard Cite

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“…A total of 18 studies were included (Table S2), including 371 patients (Table S1), 21,22,18,[23][24][25][26][27][28][29][30][31][32][33][34][35][36][37] of which 44 patients (11.9%) were IGBC and 327 patients (88.1%) were PGBC.…”

Section: Laparoscopic Surgerymentioning

confidence: 99%

“…Furthermore, five studies 26,[34][35][36]27 reported comparison of results between LS and OS for GBC. In 2015, Agarwal et al 26 analysed 70 patients diagnosed with GBC, 24 of which, underwent laparoscopic radical cholecystectomy (LRC), while the other 46 patients, underwent open radical cholecystectomy (ORC).…”

Section: Laparoscopic Surgerymentioning

confidence: 99%

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Current status and future perspectives of minimally invasive surgery in gallbladder carcinoma

Jin

et al. 2020

ANZ Journal of Surgery

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Background: Gallbladder carcinoma (GBC) is the most common biliary tract malignancy, which is characterized by easy local invasion, lymph nodes metastasis, local vascular invasion. Hence, minimally invasive surgery (MIS) can be performed in a limited number of patients. In our study, we reviewed the current studies on laparoscopic surgery (LS) and robotic surgery (RS) for GBC and analysed the limitations and difficulties of MIS for GBC. Methods: Multiple electronic databases were used for a systematic literature retrieval. All studies involving MIS of GBC were included (up to August 2019). Results: A total of 24 studies were included, of which 18 studies involved LS for GBC and six studies concerned RS of GBC. For LS, 16 studies contained relevant information of T stage, and 323 patients (98.8%) had T3 or lower stage; the average rate of R0 resection, conversion, postoperative complications and mortality was 95.3% (range 80.5-100%), 1.9% (range 0-16.7%), 13.4% (range 0-33.3%) and 1.0% (range 0-10%), respectively. For RS, four studies contained relevant information of T stage, and all patients were T3 or lower stage; the average rate of R0 resection, conversion and postoperative complications was 96.8% (range 81.8-100%), 5.5% (range 0-14.8%) and11.9% (range 0-36.4%), respectively. In addition, no patient had perioperative mortality. Conclusions: MIS for GBC is limited to highly selected patients and is considered to be technically feasible in experienced surgeons. However, improvements in technical and instrumental are needed to reduce the associated postoperative complications and implantation metastasis, and to promote MIS in the treatment of GBC.

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Essential updates 2019/2020: Surgical treatment of gallbladder cancer

Matsuyama

Yabusita

Homma

et al. 2021

Annals of Gastroent Surgery

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Gallbladder cancer is a biliary tract cancer that originates in the gallbladder and cystic ducts and is recognized worldwide as a refractory cancer with early involvement of the surrounding area because of its anatomical characteristics. Although the number of cases is increasing steadily worldwide, the frequency of this disease remains low, making it difficult to plan large‐scale clinical studies, and there is still much discussion about the indications for surgical resection and the introduction of multidisciplinary treatment. Articles published between 2019 and 2020 were reviewed, focusing mainly on the indications for surgical resection for each tumor stage, the treatment of incidental gallbladder cancer, and current trends in minimally invasive surgery for gallbladder cancer.

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Retrospective comparison of outcomes of laparoscopic and open surgery for T2 gallbladder cancer – Thirteen-year experience

Cited by 33 publications

References 29 publications

Robotic surgery of gallbladder cancer

Robotic surgery of gallbladder cancer

Current status and future perspectives of minimally invasive surgery in gallbladder carcinoma

Essential updates 2019/2020: Surgical treatment of gallbladder cancer

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