Wound recurrence from gallbladder cancer after open cholecystectomy

Lundberg, Owe; Kristoffersson, Anders

doi:10.1067/msy.2000.104487

Cited by 31 publications

(21 citation statements)

References 25 publications

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“…In fact, after a median follow-up of 27 months, the incidence of abdominal wall recurrences was similar following LC versus OC (7% vs. 5.1%), and tumor recurrence was slightly higher following OC (31% vs. 27%) [11]. Similar numbers have been reported by other groups [12], so that wound metastases from GBC after OC might be more common than previously assumed. These various reports on the incidence of PSR after LC for GBC underscore the importance of unbiased study design.…”

Section: Outcome Of Gallbladder Cancersupporting

confidence: 68%

Laparoscopic cholecystectomy and gallbladder cancer

Steinert

Nestler

Sagynaliev

et al. 2006

Journal of Surgical Oncology

115

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Heightened awareness of the possible presence of gallbladder cancer (GBC) and the knowledge of appropriate management are important for surgeons practising laparoscopic cholecystectomy (LC). Long-term effects of initial LC versus open cholecystectomy (OC) on the prognosis of patients with GBC remain undefined. Patients who are suspected to have GBC should not undergo LC, since it is advantageous to perform the en-bloc radical surgery at the initial operation. Since preoperative diagnosis of early GBC is difficult, preventive measures, such as preventing bile spillage and bagging the gallbladder should be applied for every LC. Many port-site recurrences (PSR) have been reported after LC, but the incidence of wound recurrence is not higher than after OC. No radical procedure is required after postoperative diagnosis of incidental pT1a GBC. It is unclear if patients with pT1b GBC require extended cholecystectomy. In pT2 GBC, patients should have radical surgery (atypical or segmental liver resection and lymphadenectomy). In advanced GBC (pT3 and pT4), radical surgery can cure only a small subset of patients, if any. Additional port-site excision is recommended, but the effectiveness of such measure is debated.

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Section: Outcome Of Gallbladder Cancersupporting

confidence: 68%

Laparoscopic cholecystectomy and gallbladder cancer

Steinert

Nestler

Sagynaliev

et al. 2006

Journal of Surgical Oncology

115

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show abstract

“…Ricardo et al [31] reported wound metastases in 31% after OC compared to 29% after LC. Lundberg and Kristoffersson [32] reported data from the Swedish Oncological Centers registers and documented 16% PSR following LC and 6.5% following OC, suggesting that wound recurrences are not uncommon in either form of surgical approach. Sarli et al [33] found that there was no difference in recurrence rates and cumulative survival in patients undergoing either LC or OC for unsuspected cancer and survival was correlated to stage of tumor and bile spill.…”

Section: Type Of Cholecystectomy-laparoscopic or Openmentioning

confidence: 95%

Surgical strategies in patients with gallbladder cancer: Nihilism to optimism

Sikora

Singh

2006

Journal of Surgical Oncology

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Surgery for gallbladder carcinoma, like other malignancies, has the potential to be curative only in local or regional disease. Pattern of loco-regional spread of disease dictates the surgical procedure. Radical surgery improves survival in early gallbladder carcinoma. The long-term benefit of aggressive surgery for advanced disease is unclear and may be offset by the high mortality and morbidity.

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“…Some reports have demonstrated that trocar metastases have developed following LC for unsuspected GBC or that peritoneal dissemination was noted early after reoperation [2,8,9]. On the other hand, it has been reported that there was no statistically significant difference in the incidence of abdominal wall recurrences among LC versus OC versus LC converted to OC, and that surgical approach has no influence on prognosis [27,32]. Moreover, other reports have shown that the prognosis of GBC discovered incidentally after LC was no worse than that diagnosed after OC [10,12,33].…”

Section: Journal Of Surgical Oncologymentioning

confidence: 97%