The standardized surgical approach improves outcome of gallbladder cancer

Abstract

Background: The objective of this study was to examine the extent of surgical procedures, pathological findings, complications and outcome of patients treated in the last 12 years for gallbladder cancer.

Ten-year experience in the management of gallbladder cancer from a single hepatobiliary and pancreatic centre with review of the literature

“…The improved survival is likely to be due to the careful selection of patients for surgery. The overall operative mortality in our series is 5.9% and is comparable to other series [ 7,19 . Over the 10‐year period, 25% of the gallbladder cancers treated in this unit were identified incidentally following histological examination of resected specimen from elective cholecystectomy.…”

Relevance of residual disease after liver resection for incidental gallbladder cancer

“…Previous studies have shown the presence of parenchymal involvement in liver resections for incidental GC at rates of 20% and 0%, respectively 21,27 . In the present series, seven patients who underwent re‐resection were found to have residual disease in the liver bed.…”

“…Goetze and Paolucci analysed data from the German Registry and found that for T‐stage II tumours, resection of liver segments IVb–V seems to be the minimum volume of resection required 20 . It is the present authors' belief that segmentectomy IVb–V should be performed because the procedure is associated with low morbidity and has the advantage of removing micro‐metastases in the drainage area of the cystic vein 9,19,21,22 . Resection of the laparoscopic port sites has a staging purpose, but offers no advantage in patients with confirmed implants that usually progress with peritoneal recurrence 8,13,23,24 .…”

Anatomische und atypische Resektionen des Gallenblasenbetts beim Gallenblasenkarzinom

“…hepatoduodenale durchgeführt werden. Dies ist vor dem Hintergrund der frü-hen lymphogenen Metastasierung des Gallenblasenkarzinoms unumgänglich, nicht zuletzt auch aus Gründen des besseren Stagings [3,5,7,15,19]. Wir berichten in dieser Arbeit über die Ergebnisse der Leberresektion beim Gallenblasenkarzinom in unserem Kollektiv der letzten Jahre und stellen insbesondere einen Vergleich zwischen atypischen und anatomischen Leberresektionen an.…”

“…hepatoduodenale durch. Die genaue Technik der Lymphdissektion ist bereits anderenorts beschrieben [15]. Zur anatomischen Resektion des Gallenblasenbettes (Segment IV b / V) werden nach Inzision des Peritoneums am Lig.…”