Gallbladder carcinoma incidentally encountered during laparoscopic cholecystectomy: how to deal with it |
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Authors: | Ketao Jin Huanrong Lan Tieming Zhu Kuifeng He Lisong Teng |
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Institution: | (1) Department of General Surgery, 101th Hospital of Chinese People’s Liberation Army, North Xingyuan Road, 214044 Wuxi, Jiangsu, China;(2) Department of Gastroenterology, Affiliated Drumtower Hospital of Nanjing University Medical School, 210008 Nanjing, China;(3) Department of Infectious Disease, 101th Hospital of Chinese People’s Liberation Army, North Xingyuan Road, 214044 Wuxi, Jiangsu, China |
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Abstract: | Gallbladder cancer (GBC), characterised by rapid progression and a poor prognosis with a high mortality rate, is a complex
disease to treat. Incidental gallbladder carcinoma (IGBC) is defined as carcinoma of the gallbladder suspected for the first
time during cholecystectomy or accidentally found on histological examination of the gallbladder. With the increasingly widespread
acceptance of laparoscopic cholecystectomy (LC) and difficulties in diagnosing GBC preoperatively, the number of cases of
IGBC during and after LC has increased. However, management of IGBC is a difficult issue in the absence of established guidelines.
Problems associated with IGBC related to LC are the decisions of whether, when and how to perform additional surgery. Controversy
remains regarding the effectiveness of additional resection in different stages of GBC. This review gives an overview of IGBC
related to LC, and further discusses the preoperative, intraoperative and postoperative diagnosis and management of IGBC during
LC. |
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