AI Article Synopsis
- The study reviewed 8,005 patients who underwent laparoscopic cholecystectomy, identifying 36 (0.45%) with unsuspected gallbladder carcinoma (UGC).
- The cancer stages varied, with 16 at T1, 11 at T2, and 9 at T3, and survival rates significantly differed by stage: 100% for T1, 75% for T2, and 0% for T3 at 5 years.
- The research concluded that survival rates for UGC are linked to tumor stage rather than surgical methods, confirming laparoscopic cholecystectomy is suitable for patients diagnosed at T1 stage.
Article Abstract
Objective: To summarize the clinical features and outcomes of unsupected gallbladder carcinoma ( UGC) detected during or after laparoscopic cholecystectomy.
Methods: 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.
Results: 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.
Conclusions: The survival rate of UGC is associated with tumor stage, not with operation approaches. Laparoscopic cholecystectomy is appropriate for T1 patients.
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| http://dx.doi.org/10.1016/s1001-9294(13)60030-9 | DOI Listing |
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