Progress and controversy in minimally invasive approach to radical cholecystectomy for gallbladder cancer
10.3760/cma.j.cn112139-20231215-00277
- VernacularTitle:微创入路胆囊癌根治术的进展与争议
- Author:
Zhe ZHOU
1
;
Yue YANG
;
Ziyi YANG
;
Wei GONG
Author Information
1. 上海交通大学医学院附属新华医院普外科，上海 200092
- Keywords:
Gallbladder neoplasms;
Surgical procedures,operative;
Minimally invasive surgery;
Laparoscopes;
Robot-assisted surgery
- From:
Chinese Journal of Surgery
2024;62(4):278-283
- CountryChina
- Language:Chinese
-
Abstract:
Surgical treatment is one of the most important forms of treatment in patients with gallbladder cancer. With the development of minimally invasive technology, the feasibility, safety and efficacy of minimally invasive approaches such as laparoscopic or robotic-assisted radical cholecystectomy for gallbladder cancer have received continuous attention.For patients with an early T‐stage (Tis or T1a), laparoscopic simple cholecystectomy is safe and economical, with a good prognosis for postoperative patients, and it has been widely accepted and performed. Radical resection of advanced gallbladder cancer requires resection of the gallbladder, its liver bed, and other neighboring invaded organs, as well as clearance of regional lymph nodes, which requires experienced gallbladder cancer treatment teams to strictly grasp the indications, select appropriate patients, and formulate a good surgical strategy to ensure the therapeutic effect. Meanwhile, robot-assisted radical resection for gallbladder cancer has been performed in a few centers and shows good clinical potential, but more high-quality studies are needed to further evaluate its value in gallbladder cancer treatment.
