Novel strategy for laparoscopic treatment of pT2 gallbladder carcinoma

Surgical Endoscopy
Osamu ItanoYuko Kitagawa

Abstract

This study evaluated our new strategy for treating suspected T2 gallbladder carcinoma (GBC) using a laparoscopic approach. We examined 19 patients with suspected T2 GBC who were treated laparoscopically (LS group) between December 2007 and December 2013; these patients were compared with 14 patients who underwent open surgery (OS group). Laparoscopic staging was initially performed to exclude factors making the patients ineligible for curative resection. Intraoperative pathological examination of the surgical margin of the cystic duct was performed prior to laparoscopic gallbladder bed resection, and pathological examination was again performed to confirm the presence of carcinoma and the depth of tumor invasion. Surgery was completed when the pathological findings indicated that the patient was cancer free. Lymph node dissection was performed according to the depth of tumor invasion. None of the patients required conversion to laparotomy. For three patients with benign lesions, only gallbladder bed resection was required. Additional regional lymph node dissection was performed in 16 patients in the LS group. The mean operative time (309 vs. 324 min, p = 0.755) and mean number of dissected lymph nodes (12.6 vs. 10.2, p = 0.361)...Continue Reading

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Citations

Jan 26, 2018·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Shogo KobayashiMasato Sakon
Jun 22, 2018·Surgical Endoscopy·Xabier de AretxabalaIvan Roa
Jan 18, 2018·Digestive Surgery·Ho-Seong HanRoberto I Troisi
May 11, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Gaetano PiccoloLuca Aldrighetti
Jul 30, 2019·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·K SakamotoY Takada
Nov 26, 2016·Gastroenterology Research and Practice·Giuseppe ZimmittiEdoardo Rosso
May 4, 2017·World Journal of Gastroenterology : WJG·Yusuke OmeKazuyuki Kawamoto
Dec 26, 2018·The British Journal of Surgery·K SøreideS J Wigmore
Dec 2, 2020·Journal of Hepato-biliary-pancreatic Sciences·Masato NaginoItaru Endo
Aug 19, 2020·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Wei Zhang, Xu Che
Jan 21, 2021·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Xabier de AretxabalaIvan Roa
Apr 17, 2021·Annals of Gastroenterological Surgery·Ryusei MatsuyamaItaru Endo

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