Unsuspected gallbladder cancer diagnosed during or after laparoscopic cholecystectomy

Abstract

The survival with unsuspected GBC was related to stage and it was confirmed that a carefully performed LC is adequate treatment for Stage 1A and B cancer. The LC procedure does not adversely affect the prognosis of unsuspected GBC, regardless of whether it is detected during or after LC.

Incidental Detection of Carcinoma Gall Bladder in Laparoscopic Cholecystectomy Specimens: A Thirteen Year Study of 23 Cases and Literature Review

“…The mean age of incidental carcinoma detection in our study was 57.8 years, however, in other studies from various parts of world including Saudi, Japan, China and Italy the mean age of presentation is higher than 65 years [7,11,13,14]. The youngest male patient affected in our study group was 32 years and on re-exploration surgery he had liver involvement.…”

Surgical outcomes of laparoscopic cholecystectomy in scleroatrophic gallbladders

“…The incidence of gallbladder cancer detected after LC has been reported as 0.54%-2.1% (27)(28)(29). Gallbladder carcinoma was detected in seven patients (2.4%) in our study.…”

Incidental gallbladder cancer diagnosed during or after laparoscopic cholecystectomy in members of the Turkish population with gallstone disease

“…When we examined the treatment of early stage tumors in the literature, cholecystectomy alone was a sufficient therapy for T1a tumors (7,16,17), but the possible necessity of further surgery for T1b tumors is under debate (7,16,(18)(19)(20)(21)(22)(23). Some authors have recommended simple cholecystectomy for T1b tumors (7,16,19,21), while others have recommended additional surgery including liver bed resection and lymph node dissection (20,22,23). Liver resection and regional lymphatic dissection should be performed for T2 tumors because nodal metastasis has been reported in up to 50% of cases (16).…”

“…LC performed for gallstone disease rarely results in a diagnosis of unexpected gallbladder cancer. In the English-language research literature, the incidence of gallbladder cancer diagnosed during or after LC is 0.2%-2.85% (3)(4)(5)(6)(7)(8)(9)(10)(11). In this single-center study, we report our experience with gallbladder cancer incidentally diagnosed during or after LC performed for gallstone disease.…”