Advances in surgical management of primary carcinoma of the gallbladder: Results from 10-year research at a single institution

Zhilin DU; Chen Chen; Zhimin Geng; Dong Zhang; Zuoren Wang; Lei Shi; Jigang Bai; Jie Tao; Qingguang Liu; Lin Wang

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Advances in surgical management of primary carcinoma of the gallbladder: Results from 10-year research at a single institution

VernacularTitle:胆囊癌外科治疗进展：单中心10年临床研究分析
Author: Zhilin DU ¹ ; Chen CHEN ¹ ; Zhimin GENG ¹ ; Dong ZHANG ¹ ; Zuoren WANG ¹ ; Lei SHI ¹ ; Jigang BAI ¹ ; Jie TAO ¹ ; Qingguang LIU ¹ ; Lin WANG ¹
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1. Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, China
Publication Type:Journal Article
Keywords: carcinoma of the gallbladder; radical intent resection; lymphadenectomy; jaundice; R0 resection
From: Journal of Xi'an Jiaotong University(Medical Sciences) 2021;42(1):36-41
CountryChina
Language:Chinese
Abstract: 【Objective】 To analyze the clinical characteristics of patients with primary carcinoma of the gallbladder (PGC) who underwent radical intent resection in our center in the last decade and the therapeutic effects of the operation. 【Methods】 A single-institution database of The First Affiliated Hospital of Xi'an Jiaotong University from January 2008 to December 2017 was queried for patients with PGC who had received surgical treatment. The data were studied retrospectively to assess the trend of total admission, radical resection rate, prognosis and clinicopathological characteristics of PGC in the last decade. 【Results】 A total of 2 159 patients with PGC were treated in our institution from 2008 to 2017. Of them, 1072 were surgically treated and 503 underwent radical intent resection. In the past 5 years (2013-2017), the radical resection rate was 26.5% (319 cases of the operation), which was significantly higher than that in 2008-2012 (19.2%) (P<0.001). The overall survival time of the patients who underwent radical resection was 32 months, and the 1-, 3-, and 5-year survival rate was 68.9%, 48.4% and 41.6%, respectively. Compared with the data of 2008-2012, the proportion of the patients with preoperative jaundice decreased in the past 5 years (7.8% vs. 14.7%, P<0.05), that of the patients who underwent D2 lymphadenectomy (74.0% vs. 26.1%, P<0.001) increased significantly (P<0.001), the total number of lymph nodes obtained from the dissection (8.07±5.18 vs. 5.89±3.14, P<0.001) increased significantly (95.6% vs. 89.7%, P<0.05), and the proportion of R0 resection (95.6%) increased significantly (P<0.05). 【Conclusion】 The diagnosis and treatment of radical intent resection of PGC in our hospital have changed significantly in the last decade, mainly reflected in the extension of lymphadenectomy, increase in R0 resection rate and decrease in patients with preoperative jaundice.