scholarly journals Laparoscopic Radical Cholecystectomy for Primary or Incidental Early Gallbladder Cancer: The New Rules Governing the Treatment of Gallbladder Cancer

2017 ◽  
Vol 2017 ◽  
pp. 1-10 ◽  
Author(s):  
Gaetano Piccolo ◽  
Guglielmo Niccolò Piozzi
Keyword(s):  
Gallbladder Cancer ◽  
Wedge Resection ◽  
Postoperative Mortality ◽  
Bile Leakage ◽  
Radical Cholecystectomy ◽  
First Case ◽  
Early Case ◽  
Routine Sampling ◽  
Parenchyma Sparing ◽  
Early Gallbladder Cancer

Aim. To evaluate the technical feasibility and oncologic safety of laparoscopic radical cholecystectomy (LRC) for primary or incidental early gallbladder cancer (GBC) treatment. Methods. Articles reporting LRC for GBC were reviewed from the first case reported in 2010 to 2015 (129 patients). 116 patients had a preoperative diagnosis of gallbladder cancer (primary GBC). 13 patients were incidental cases (IGBC) discovered during or after a laparoscopic cholecystectomy. Results. The majority of patients who underwent LRC were pT2 (62.7% GBC and 63.6% IGBC). Parenchyma-sparing operation with wedge resection of the gallbladder bed or resection of segments IVb-V were performed principally. Laparoscopic lymphadenectomy was carried out according to the reported depth of neoplasm invasion. Lymph node retrieved ranged from 3 to 21. Some authors performed routine sampling biopsy of the inter-aorto-caval lymph nodes (16b1 station) before the radical treatment. No postoperative mortality was documented. Discharge mean day was POD 5th. 16 patients had post operative morbidities. Bile leakage was the most frequent post-operative complication. 5 y-survival rate ranged from 68.75 to 90.7 months. Conclusion. Laparoscopy can not be considered as a dogmatic contraindication to GBC but a primary approach for early case (pT1b and pT2) treatment.

Should suspected early gallbladder cancer be treated laproscopically?

2001 ◽  
Vol 120 (5) ◽  
pp. A52-A52
Author(s):  
S WEILAND ◽  
L RIKKERS ◽  
J NIEDERHUBER ◽  
D MAHVI ◽  
D HEISEY ◽  
...  
Keyword(s):  
Gallbladder Cancer ◽  
Early Gallbladder Cancer

scholarly journals Robotic completion radical cholecystectomy for incidental gallbladder cancer

HPB ◽  
2020 ◽  
Vol 22 ◽  
pp. S186
Author(s):  
J.M. Creasy ◽  
M.E. Lidsky ◽  
K.N. Shah ◽  
G.S. Herbert ◽  
P.J. Allen ◽  
...  
Keyword(s):  
Gallbladder Cancer ◽  
Radical Cholecystectomy ◽  
Incidental Gallbladder Cancer

scholarly journals Intraoperative Treatment of Duct of Luschka during Laparoscopic Cholecystectomy: A Case Report and Revision of Literature

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Luigi Masoni ◽  
Leandro Landi ◽  
Riccardo Maglio
Keyword(s):  
Case Report ◽  
Bile Leak ◽  
Bile Leakage ◽  
Medical Systems ◽  
Invasive Treatment ◽  
Endoscopic Clip ◽  
First Case ◽  
Duct Of Luschka ◽  
Clinically Significant

Background. Bile leakage still remains a serious complication during cholecystectomies. In limited cases, this complication may occur from injury of the so-called ducts of Luschka. These rare ducts are usually discovered intraoperatively, and their presence poses the risk of bile injury and clinically significant bile leak. Presentation Case. We present a unique case of a 59-year-old male patient with acute cholecystitis. After removal of the gallbladder, thorough inspection of the hepatic bed was made and a little bile leak was identified from a duct of Luschka 1 cm away from the gallbladder hilum. We report on the use of endoscopic QuickClip Pro® clips (Olympus Medical Systems Corp., Tokyo, Japan) to avoid further more invasive treatment. Discussion. Endoscopic retrograde cholangiopancreatography with sphincterotomy played a crucial role for diagnosis and treatment of bile leaks with success rate near 94%. Many authors have argued the role of relaparoscopy, Diagnosis may be intraoperatively but this option does not seem to occur very often; in fact, there is a lack of data in literature. Conclusion. This is the first case report of bile leak from duct of Luschka treated during the cholecystectomies with endoscopic clip.

scholarly journals Robotic radical cholecystectomy for gallbladder cancer at a high-volume minimally invasive center

HPB ◽  
2019 ◽  
Vol 21 ◽  
pp. S33
Author(s):  
R.C. Pickens ◽  
E.E. Isenberg ◽  
J.K. Sulzer ◽  
K. Murphy ◽  
J.B. Martinie ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Gallbladder Cancer ◽  
High Volume ◽  
Radical Cholecystectomy

Multiple bile duct cancers presenting 3 years after resection of early gallbladder cancer: Case report

1994 ◽  
Vol 1 (4) ◽  
pp. 419-423 ◽  
Author(s):  
Shuichi Miyakawa ◽  
Akihiko Horiguchi ◽  
Makoto Hayakawa ◽  
Kenji Mizuno ◽  
Shin Ishihara ◽  
...  
Keyword(s):  
Case Report ◽  
Bile Duct ◽  
Gallbladder Cancer ◽  
Cancer Case ◽  
Early Gallbladder Cancer

scholarly journals Anatomical hepatic resection versus wedge resection for gallbladder cancer: analysis of multi-center database

HPB ◽  
2018 ◽  
Vol 20 ◽  
pp. S20
Author(s):  
M.H. Al-Temimi ◽  
I.F. Mousa ◽  
V. O'connor ◽  
A.L. DiFronzo
Keyword(s):  
Hepatic Resection ◽  
Gallbladder Cancer ◽  
Wedge Resection ◽  
Anatomical Hepatic Resection

scholarly journals Current status of surgery for clinical stage IA lung cancer in Japan: analysis of the national clinical database

Surgery Today ◽  
2020 ◽  
Vol 50 (12) ◽  
pp. 1644-1651
Author(s):  
Norihiko Ikeda ◽  
Shunsuke Endo ◽  
Eriko Fukuchi ◽  
Jun Nakajima ◽  
Kohei Yokoi ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Wedge Resection ◽  
Clinical Stage ◽  
Postoperative Mortality ◽  
Current Status ◽  
Clinical Database ◽  
National Clinical Database ◽  
Invasive Approach ◽  
Clinical Stage Ia ◽  
Stage Ia

Abstract Purpose As the number of cases of early lung cancer in Japan grows, an analysis of the present status of surgical treatments for clinical stage IA lung cancer using a nationwide database with web-based data entry is warranted. Methods The operative and perioperative data from 47,921 patients who underwent surgery for clinical stage IA lung cancer in 2014 and 2015 were obtained from the National Clinical Database (NCD) of Japan. Clinicopathological characteristics, surgical procedure, mortality, and morbidity were analyzed, and thoracotomy and video-assisted thoracic surgery (VATS) were compared. Results The patients comprised 27,208 men (56.8%) and 20,713 women (43.2%); mean age, 69.3 years. Lobectomy was performed in 64.8%, segmentectomy in 15.2%, and wedge resection in 19.8%. The surgical procedures were thoracotomy in 12,194 patients (25.4%) and a minimally invasive approach (MIA) in 35,727 patients (74.6%). MIA was divided into VATS + mini-thoracotomy (n = 13,422, 28.0%) and complete VATS (n = 22,305, 46.5%). The overall postoperative mortality rate was 0.4%, being significantly lower in the MIA group than in the thoracotomy group (0.3% vs 0.8%, P < 0.001). Conclusions Our analysis of data from the NCD indicates that MIA has become the new standard treatment for clinical stage IA lung cancer.

scholarly journals A case of severe biliary stenosis after cholecystectomy and hepatoduodenal ligament lymph node dissection for early gallbladder cancer

2011 ◽  
Vol 19 (2) ◽  
pp. 34-36
Author(s):  
Takayuki Nishi ◽  
Hideo Shimada ◽  
Mari Tokuyama ◽  
Hirohito Miyako ◽  
Hiroshi Fukumitsu ◽  
...  
Keyword(s):  
Lymph Node ◽  
Gallbladder Cancer ◽  
Lymph Node Dissection ◽  
Hepatoduodenal Ligament ◽  
Node Dissection ◽  
Biliary Stenosis ◽  
Early Gallbladder Cancer

scholarly journals Renal cell carcinoma metastases to gallbladder

2013 ◽  
Vol 95 (8) ◽  
pp. e7-e9 ◽  
Author(s):  
D McWhirter ◽  
M den Dulk ◽  
M Terlizzo ◽  
HZ Malik ◽  
SW Fenwick ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Gallbladder Cancer ◽  
Cell Carcinoma ◽  
Metastatic Renal Cell Carcinoma ◽  
Renal Cell ◽  
Resected Specimen ◽  
Radical Cholecystectomy

A 74-year old man underwent a radical cholecystectomy for presumed gallbladder cancer. The histology of the resected specimen in fact revealed the lesion to be metastatic renal cell carcinoma from his resected right nephrectomy performed 14 years previously.

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