Carcinoma gall bladder-our experience

ABSTRACT

Carcinoma gallbladder is highly lethal disease and most common malignant lesion of biliary tract which continuously gives rise to diagnostic and therapeutic challenges. A prospective study of 18 cases of carcinoma gallbladder admitted in North Surgical Unit of Mayo Hospital, Lahore in two years [1997-98] is presented. The majority of the patients were females in 5th and 6th decade of life and admitted through OPD[73%] and [27%] through emergency. Preoperative suspicion of carcinoma was made in 83% of cases. Most of the cases presented in Stage IV and V Eighty three% of the patients had gall stones. Various operative procedures performed wt-re cholecystectomy [2] extended cholecystectomy [6], open biospy of the tumour only [4], biopsy and stenting of CBD [2], biopsy and hepaticogastrostomy [2], fine needle aspiration cytology only [2]. The mean hospital stay was 9 days. The operative mortality was 5.5% in this series