Surgical approach does not influence the outcome of incidental gallbladder carcinoma.
作者： Wen-Xian Guan , Gui-Fang Xu , Wei-Jie Zhang , Guog-Zhong Wu , Zhi-Qiang Tian
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摘要: Several reports claim that there is a risk laparoscopic cholecystectomy (LC) might worsen the prognosis of unsuspected gallbladder cancer. The aim this study was to evaluate whether surgical approach influence outcome in patients with incidental carcinoma. Methods: A retrospective done 28 who were diagnosed carcinoma had undergone for benign disease at our institution between 1999 and 2007. 20 (4 men 16 women, aged from 37 81 years) undergoing LC (group A) 8 (6 2 43 88 open (OC) B) GC. We evaluated two groups correlating cumulative survival rates tumor stage technique (LC or OC), time diagnosis (after during cholecystectomy). Results: nine (69.2 %) group four (30.8%) B recurrence. Survival rate statistically correlated (P<0.0001) but neither used perform cholecystectomy, nor (intra- post-operatively). Conclusion: These results would seem lend support opinion does not GC, regardless detected after cholecystectomy.
参考文章(19)
C. Wullstein, G. Woeste, S. Barkhausen, E. Gross, U.T. Hopt, Do complications related to laparoscopic cholecystectomy influence the prognosis of gallbladder cancer Surgical Endoscopy and Other Interventional Techniques. ,vol. 16, pp. 828- 832 ,(2002) , 10.1007/S00464-001-9085-7
Takayuki Toyonaga, Kazuo Chijiiwa, Kenji Nakano, Hirokazu Noshiro, Koji Yamaguchi, Masayuki Sada, Reiji Terasaka, Kohki Konomi, Fujihiko Nishikata, Masao Tanaka, Completion Radical Surgery after Cholecystectomy for Accidentally Undiagnosed Gallbladder Carcinoma World Journal of Surgery. ,vol. 27, pp. 266- 271 ,(2003) , 10.1007/S00268-002-6609-9
Wei-Jie Zhang, Gui-Fang Xu, Xiao-Ping Zou, Wei-Bing Wang, Jun-Chi Yu, Guo-Zhong Wu, Chun-Lei Lu, None, Incidental gallbladder carcinoma diagnosed during or after laparoscopic cholecystectomy. World Journal of Surgery. ,vol. 33, pp. 2651- 2656 ,(2009) , 10.1007/S00268-009-0218-9
Christoph A Jacobi, Robert Sabat, Bartholomäus Böhm, Hans U Zieren, Hans D Volk, Joachim M Müller, None, Pneumoperitoneum with carbon dioxide stimulates growth of malignant colonic cells Surgery. ,vol. 121, pp. 72- 78 ,(1997) , 10.1016/S0039-6060(97)90185-9
H. Puhalla, T. Wild, E. Bareck, H. Pokorny, M. Ploner, T. Soliman, S. Stremitzer, D. Depisch, F. Laengle, T. Gruenberger, Long-term follow-up of surgically treated gallbladder cancer patients Ejso. ,vol. 28, pp. 857- 863 ,(2002) , 10.1053/EJSO.2002.1301
F. Romano, C. Franciosi, R. Caprotti, S. De Fina, G. Porta, G. Visintini, F. Uggeri, Laparoscopic cholecystectomy and unsuspected gallbladder cancer. Ejso. ,vol. 27, pp. 225- 228 ,(2001) , 10.1053/EJSO.2000.1036
T. Wakai, Y. Shirai, N. Yokoyama, S. Nagakura, H. Watanabe, K. Hatakeyama, Early gallbladder carcinoma does not warrant radical resection British Journal of Surgery. ,vol. 88, pp. 675- 678 ,(2002) , 10.1046/J.1365-2168.2001.01749.X
Juan C. Rodríguez Otero, Amalia Proske, Cristina Vallilengua, Marta Luján, Leonor Poletto, Stella M. Pezzotto, Luis Fein, Jorgelina Rodríguez Otero, Guillermo Celoria, Gallbladder cancer: surgical results after cholecystectomy in 25 patients with lamina propria invasion and 26 patients with muscular layer invasion Journal of Hepato-biliary-pancreatic Surgery. ,vol. 13, pp. 562- 566 ,(2006) , 10.1007/S00534-006-1123-3
Hiromichi Ito, Evan Matros, David C Brooks, Robert T Osteen, Michael J Zinner, Richard S Swanson, Stanley W Ashley, Edward E Whang, Treatment outcomes associated with surgery for gallbladder cancer: a 20-year experience. Journal of Gastrointestinal Surgery. ,vol. 8, pp. 183- 190 ,(2004) , 10.1016/J.GASSUR.2003.10.006
P. Antonakis, N. Alexakis, D. Mylonaki, E. Leandros, M. M. Konstadoulakis, G. Zografos, G. Androulakis, Incidental finding of gallbladder carcinoma detected during or after laparoscopic cholecystectomy Ejso. ,vol. 29, pp. 358- 360 ,(2003) , 10.1053/EJSO.2002.1402