Practical Guidelines for the Surgical Treatment of Gallbladder Cancer
Journal of Korean Medical Science
; : 1333-1340, 2014.
Artículo
en Inglés
| WPRIM (Pacífico Occidental)
| ID: wpr-23627
Biblioteca responsable:
WPRO
ABSTRACT
At present, surgical treatment is the only curative option for gallbladder (GB) cancer. Many efforts therefore have been made to improve resectability and the survival rate. However, GB cancer has a low incidence, and no randomized, controlled trials have been conducted to establish the optimal treatment modalities. The present guidelines include recent recommendations based on current understanding and highlight controversial issues that require further research. For T1a GB cancer, the optimal treatment modality is simple cholecystectomy, which can be carried out as either a laparotomy or a laparoscopic surgery. For T1b GB cancer, either simple or an extended cholecystectomy is appropriate. An extended cholecystectomy is generally recommended for patients with GB cancer at stage T2 or above. In extended cholecystectomy, a wedge resection of the GB bed or a segmentectomy IVb/V can be performed and the optimal extent of lymph node dissection should include the cystic duct lymph node, the common bile duct lymph node, the lymph nodes around the hepatoduodenal ligament (the hepatic artery and portal vein lymph nodes), and the posterior superior pancreaticoduodenal lymph node. Depending on patient status and disease severity, surgeons may decide to perform palliative surgeries.
Texto completo:
Disponible
Base de datos:
WPRIM (Pacífico Occidental)
Asunto principal:
Tasa de Supervivencia
/
Colecistectomía Laparoscópica
/
Hallazgos Incidentales
/
Neoplasias de la Vesícula Biliar
/
Laparotomía
/
Neoplasias Hepáticas
/
Escisión del Ganglio Linfático
/
Ganglios Linfáticos
/
Metástasis Linfática
Tipo de estudio:
Ensayo clínico controlado
/
Estudio diagnóstico
/
Guía de práctica clínica
Límite:
Humanos
Idioma:
Inglés
Revista:
Journal of Korean Medical Science
Año:
2014
Tipo del documento:
Artículo