Aspectos quirúrgicos del cáncer de vesícula biliar / Strategies for the surgical treatment of gallbladder cancer
Rev. méd. Chile
;
133(6): 723-728, jun. 2005. ilus
Artículo
en Español
| LILACS
| ID: lil-429129
ABSTRACT
There is controversy in some aspects of the surgical treatment of non-mucosal gallbladder carcinoma. An accurate staging based on T (wall) involvement is crucial, otherwise understanding may yield falsely pessimistic results. The decision about the type of resection to be performed should be based on patient status (age, performance, comorbidities, etc) and tumor characteristics (histological type, vascular, neural or lymphatic spread, cell differentiation, tumor involvement of surgical margins in cystic duct, etc). For muscular (T1b) involvement, there is a great controversy about performing a simple cholecystectomy or en-block radical resection. For T2 there is consensus that an en-block radical surgery including liver resection (IVb - V) and lymphonodal clearance should be performed, since this approach has a great impact in survival. The role of surgical excision for tumors with serosal or liver involvement is controversial, due to the poor survival of these patients. However we have observed a 13% actuarial survival at 5 years, in this subset of patients.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Colecistectomía
/
Carcinoma
/
Neoplasias de la Vesícula Biliar
Tipo de estudio:
Estudio pronóstico
Límite:
Femenino
/
Humanos
País/Región como asunto:
America del Sur
/
Chile
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
2005
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
Clínica Alemana de Santiago/CL
/
Universidad de Chile/CL
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