Surgical treatment strategy of advanced gallbladder carcinoma: report on 17 cases

VernacularTitle:中晚期胆囊癌的外科治疗策略:附17例报告
Author: Qingxiang XU ; Yafu WU ; Xiaolei SHI ; Liang WANG ; Wei ZHU ; Yitao DING
Publication Type:Journal Article
Keywords: Gallbladder carcinoma; Surgical treatment; Complications
From: Chinese Journal of Hepatobiliary Surgery 2011;17(2):110-113
CountryChina
Language:Chinese
Abstract: Objective To explore the optimal surgical treatment strategy of advanced gallbladder carcinoma (Nevin Ⅲ - Ⅴ ), with an aim to prolong patients' overall survival. Methods 17 patients with advanced gallbladder carcinoma were reviewed. Their preoperative diagnosis, surgical treatment, complications and survival time were studied. Results The diagnosis of advanced gallbladder carcinoma was done using different medical imaging techniques, but incorrect diagnosis still happened. There is a wide range of surgical treatment for advanced gallbladder carcinoma. Controversy still exists as whether lymph node resection should be done. In our patients, 35.3% of the 13a lymph nodes and 23. 5% of the 8 lymph nodes were positive for metastasis, which showed that lymph node resection should be carried out. Extended surgery was sometime required to ensure a R0 resection.The main complications of surgery were intraabdominal infection, bile leakage and paralytic ileus.Conclusion An aggressive surgical approach for advanced gallbladder carcinoma is required to ensure a R0 resection, which contributed to better overall survival.