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Unsuspected gallbladder cancer during or after laparoscopic cholecystectomy / 中国医学科学杂志(英文版)
Chinese Medical Sciences Journal ; (4): 102-106, 2013.
Article in English | WPRIM | ID: wpr-243209
ABSTRACT
<p><b>OBJECTIVE</b>To summarize the clinical features and outcomes of unsupected gallbladder carcinoma ( UGC) detected during or after laparoscopic cholecystectomy.</p><p><b>METHODS</b>Medical records of 8005 patients, who underwent laparoscopic cholecystectomy in Peking Union Medical College Hospital between June 1993 and June 2011, were reviewed. Patients that pathologically diagnosed as UGC were retrospectively studied in terms of clinical features, preoperative and postoperative diagnosis, surviving period, and complications.</p><p><b>RESULTS</b>In the 8005 patients who received laparoscopic cholecystectomy, 36 (0.45%) were diagnosed as UGC during (25 patients) or after (11 patients) laparoscopic cholecystectomy. The gallbladder cancer was staged as T1 in 16 patients, T2 in 11 patients, and T3 in 9 patients. The 1-, 3-, and 5-year survival rates of all the patients were 88.9% (32/36), 63.9% (23/36), and 58.3% (21/36). The 5-year survival rates in T1 stage, T2 stage, and T3 stage patients were 100%, 75.0%, and 0.0%, respectively.</p><p><b>CONCLUSIONS</b>The survival rate of UGC is associated with tumor stage, not with operation approaches. Laparoscopic cholecystectomy is appropriate for T1 patients.</p>
Subject(s)
Full text: Available Index: WPRIM (Western Pacific) Main subject: Pathology / General Surgery / Retrospective Studies / Cholecystectomy, Laparoscopic / Diagnosis / Gallbladder Neoplasms Type of study: Diagnostic study / Observational study Limits: Adult / Aged / Aged80 / Female / Humans / Male Language: English Journal: Chinese Medical Sciences Journal Year: 2013 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Pathology / General Surgery / Retrospective Studies / Cholecystectomy, Laparoscopic / Diagnosis / Gallbladder Neoplasms Type of study: Diagnostic study / Observational study Limits: Adult / Aged / Aged80 / Female / Humans / Male Language: English Journal: Chinese Medical Sciences Journal Year: 2013 Type: Article