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
Artigo
em Espanhol
| 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:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Colecistectomia
/
Carcinoma
/
Neoplasias da Vesícula Biliar
Tipo de estudo:
Estudo prognóstico
Limite:
Feminino
/
Humanos
País/Região como assunto:
América do Sul
/
Chile
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2005
Tipo de documento:
Artigo
País de afiliação:
Chile
Instituição/País de afiliação:
Clínica Alemana de Santiago/CL
/
Universidad de Chile/CL
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