Surgical management of unsuspected gallbladder carcinoma after laparoscopic cholecystectomy
10.3760/cma.j.issn.1673-4904.2010.14.003
- VernacularTitle:腹腔镜胆囊切除术后意外胆囊癌的外科治疗
- Author:
Xin CHEN
;
Xiaojun ZHOU
;
Zhongqi MAO
;
Haixin QIAN
- Publication Type:Journal Article
- Keywords:
Cholecystectomy,laparoscopic;
Gallbladder neoplasms;
Therapy
- From:
Chinese Journal of Postgraduates of Medicine
2010;33(14):6-8
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the surgical management of unsuspected gallbladder carcinoma (UGC) after laparoscopic cholecystectomy ( LC ). Method The clinical data of 11 cases of UGC incidently found after LC from October 2003 to August 2009 were retrospectively analyzed. Results According to Nevin staging, 2 cases were stage Ⅰ , 6 cases were stage Ⅱ , 2 cases were stage Ⅲ and 1 case was stage Ⅳ.Four cases were treated by LC,including 2 cases with stage Ⅰ and 2 cases with stage Ⅱ ;another 7 cases were treated by radical resection after LC. All patients were followed up for 1-66 months after operation, 2 cases with stage Ⅰ were observed alive up; 2 cases with stage Ⅱ treated by LC died less than 3 years after operation, 3 of the 4 cases with stage Ⅱ treated by radical resection were alive up, only 1 died in 21 months after operation; 2 cases with stage Ⅲ died in 8 months and 10 months respectively, 1 case with stage Ⅳ died in 1 month after operation. Conclusions It is difficult to diagnose the UGC preoperatively. LC is sufficient for patients with Nevin stage Ⅰ , radical resection after LC is required for patients with stage Ⅱ or more advanced stage. If tumors are located in the neck of gallbladder, radical resection is required regardless of their stage.
