Reconsideration of Laparoscopic Cholecystectomy

We describe the surgical method of cases showing a distended gallbladder. Because the most important thing does not cause biliary tract injury, it is to find orientation carefully. The frequency of incidental gallbladder cancer was in 7 (0.7%) of the 983. Only cholecystectomy is necessary to be performed for Tis or T1 cancer, and surgery has to be changed to radical surgery for T2 cancer or deeper invasion. Laparoscopic cholecystectomy is already an established standard operation. In the presence of acute or severe chronic inflammation, special attention should be paid to these points.

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PREVALENCE OF INCIDENTAL GALLBLADDER CANCER IN A TERTIARY-CARE HOSPITAL FROM PERNAMBUCO, BRAZIL

Arquivos de Gastroenterologia ◽

10.1590/s0004-28032015000300017 ◽

2015 ◽

Vol 52 (3) ◽

pp. 247-249 ◽

Cited By ~ 4

Author(s):

Euclides Dias MARTINS-FILHO ◽

Thales Paulo BATISTA ◽

Flávio KREIMER ◽

Antonio Cavalcanti de Albuquerque MARTINS ◽

Tiago Cavalcanti IWANAGA ◽

...

Keyword(s):

Gallbladder Cancer ◽

Radical Surgery ◽

Tumor Staging ◽

Tertiary Care ◽

Prevalence Estimate ◽

Care Hospital ◽

Repeat Surgery ◽

Distal Cholangiocarcinoma ◽

Whipple’S Procedure ◽

Incidental Gallbladder Cancer

BackgroundGallbladder cancer is sometimes incidentally uncovered following cholecystectomy for gallstones diseases. The supposed highly variable prevalence of incidental gallbladder cancer through our country is unknown.ObjectiveTo explore the prevalence of incidental gallbladder cancer in our tertiary-care hospital.MethodsA cross-sectional study was carried out on patients who consecutively underwent cholecystectomy due to gallstones disease at Faculdade Pernambucana de Saúde, Instituto de Medicina Integral Professor Fernando Figueira - FPS/IMIP, from January, 2007 to December, 2010. Data on incidental gallbladder cancer patients were explored for prevalence estimation and description of our experience with the management of this malignancy.ResultsOur analysis involved 2018 patients with a marked predominance of women (n=1.697; 84.1%) over men (n=321; 15.9%). The 3-year prevalence estimate of 0.34% was recorded for incidental gallbladder cancer in our sample. Regarding tumor staging, there were 1 T1a, 1 T1b, and 5 T2 adenocarcinoma tumors. Laparoscopic cholecystectomy alone was performed for the T1a tumor, and additional radical surgery was performed in five others. One patient presented metastatic disease at the time of repeat surgery. The final pathology revealed residual/additional disease in all T2 tumors after radical surgery whereas the T1b patient underwent a salvage Whipple’s procedure due to a secondary distal cholangiocarcinoma. The patient with T1a tumor is alive after 3-year follow-up but all of the others died because of disease recurrence/progression up to 12 months.ConclusionThis study confirms the poor prognosis of Gallbladder cancer even when incidentally diagnosed following cholecystectomy and supposes a 3-year prevalence estimate of 0.34% for incidental gallbladder cancer in our Center from Pernambuco State, Brazil.

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Diagnosis of incidental gallbladder cancer after laparoscopic cholecystectomy: our experience

BMC Surgery ◽

10.1186/1471-2482-13-s2-s20 ◽

2013 ◽

Vol 13 (Suppl 2) ◽

pp. S20 ◽

Cited By ~ 13

Author(s):

Alessia G Ferrarese ◽

Mario Solej ◽

Stefano Enrico ◽

Alessandro Falcone ◽

Silvia Catalano ◽

...

Keyword(s):

Laparoscopic Cholecystectomy ◽

Gallbladder Cancer ◽

Incidental Gallbladder Cancer

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Incidental Gallbladder Cancer Diagnosed Following Laparoscopic Cholecystectomy

World Journal of Surgery ◽

10.1007/s00268-009-0249-2 ◽

2009 ◽

Vol 33 (12) ◽

pp. 2657-2663 ◽

Cited By ~ 37

Author(s):

Sae Byeol Choi ◽

Hyung Joon Han ◽

Chung Yun Kim ◽

Wan Bae Kim ◽

Tae-Jin Song ◽

...

Keyword(s):

Laparoscopic Cholecystectomy ◽

Gallbladder Cancer ◽

Incidental Gallbladder Cancer

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Spilled gallstones during laparoscopic cholecystectomy

Annals of The Royal College of Surgeons of England ◽

10.1308/003588414x13946184900444 ◽

2014 ◽

Vol 96 (5) ◽

pp. e18-e20 ◽

Cited By ~ 5

Author(s):

J Ahmad ◽

AIW Mayne ◽

Y Zen ◽

MB Loughrey ◽

P Kelly ◽

...

Keyword(s):

Laparoscopic Cholecystectomy ◽

Gallbladder Cancer ◽

Histological Examination ◽

Early Stage ◽

Recurrent Pain ◽

Early Stage Disease ◽

Stage Disease ◽

Symptomatic Gallstones ◽

Incidental Gallbladder Cancer

Introduction Incidental gallbladder cancer is found in 0.6–2.1% of patients undergoing laparoscopic cholecystectomy for symptomatic gallstones. Patients with Tis or T1a tumours generally undergo no further intervention. However, spilled stones during surgery may have catastrophic consequences. We present a case and suggest aggressive management in patients with incidental gallbladder cancer who had spilled gallstones at surgery. Case History A 37-year-old woman underwent a laparoscopic cholecystectomy for symptomatic gallstones, during which some stones were spilled into the peritoneal cavity. Subsequent histological examination confirmed incidental pT1a gallbladder cancer. Hepatopancreatobiliary multidisciplinary team discussion agreed on regular six-monthly follow-up. The patient developed recurrent pain two years after surgery. Computed tomography revealed a lesion in segment 6 of the liver. At laparotomy, multiple tumour embedded gallstones were found on the diaphragm. Histological examination showed features (akin to the original pathology) consistent with a metastatic gallbladder tumour. Conclusions This case highlights the potential for recurrence of early stage disease resulting from implantation of dysplastic or malignant cells carried through spilled gallstones. It is therefore important to know if stones were spilled during original surgery in patients with incidental gallbladder cancer following a laparoscopic cholecystectomy. Aggressive and early surgical management should be considered for these patients.

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Multiple port sites metastasis after laparoscopic cholecystectomy: a case report

International Surgery Journal ◽

10.18203/2349-2902.isj20175419 ◽

2017 ◽

Vol 4 (12) ◽

pp. 4096

Author(s):

Farhanul Huda ◽

Sudhir K. Singh ◽

Arvind Gupta ◽

Navin Kumar

Keyword(s):

Laparoscopic Cholecystectomy ◽

Gall Bladder ◽

Radical Surgery ◽

Histopathological Examination ◽

Gall Stone ◽

Stone Disease ◽

Rare Occurrence ◽

Port Site Metastasis ◽

Gall Stone Disease ◽

Incidental Gallbladder Cancer

Laparoscopic cholecystectomy is a surgical procedure of choice for gall stone disease. Incidental gallbladder cancer is found in about 0.25-3% of patients after routine cholecystectomy. Depending on the stage of tumour, additional radical surgery may be required. In recent years, several reports of port site metastasis have been published. Here, we report a case of a 55-year-old female patient who presented to us with simultaneous multiple port sites metastasis after an interval of 15 months of laparoscopic cholecystectomy for gall stone disease. We recommend the routine use of specimen bag for the retrieval of gall bladder during laparoscopic cholecystectomy and also to send the gall bladder for histopathological examination. To the best of our knowledge, metastasis to more than one port is a very rare occurrence.

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