Enlightenment and reflection of laparoscopic radical cholecystectomy
10.3760/cma.j.issn.1673-9752.2020.01.007
- VernacularTitle: 开展腹腔镜胆囊癌根治术的启示与思考
- Author:
Lei ZHANG
1
;
Yajin CHEN
Author Information
1. Department of Hepatobiliary Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510120, China
- Publication Type:Journal Article
- Keywords:
Bile duct neoplasms;
Treatment;
Ra-dical cholecystectomy;
Laparoscopy
- From:
Chinese Journal of Digestive Surgery
2020;19(1):46-49
- CountryChina
- Language:Chinese
-
Abstract:
Gallbladder cancer is a biliary malignant disease with difficulty in early diagnosis, high malignancy and poor prognosis. Radical resection is the most effective approach to improve the prognosis of patients. With the update of minimally invasive devices and the accumulation of surgeon experience, laparoscopic surgery has achieved satisfactory results in the treatment of malignant tumors of the digestive tract, but there is still controversy in its application in gallbladder cancer treatment, mainly due to lack of reliable evidence for improved survival outcomes. The current studies indicated that laparoscopic surgery could benefit some patients with early gallbladder cancer in perioperative period and survival. For advanced gallbladder cancer, although there is still no consensus on the resection extent, laparoscopic staging can prevent patients from unnecessary expanded resection. The minimally invasive process of radical cholecystectomy needs to be promoted through a high-quality diagnosis and treatment process. Only in this way can there be practical clinical evidence to guide the best clinical practice.
