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Diagnosis of incidental gallbladder cancer after laparoscopic cholecystectomy: our experience

BACKGROUND: Gallbladder carcinoma is a rare high malignancy neoplasm. The incidence of intra or post-operative incidental gallbladder carcinoma diagnosis is estimated between 0,2 and 2,8%. Primary aim of our study is to evaluate incidental gallbladder carcinoma's incidence in our experience. ME...

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Autores principales: Ferrarese, Alessia G, Solej, Mario, Enrico, Stefano, Falcone, Alessandro, Catalano, Silvia, Pozzi, Giada, Marola, Silvia, Martino, Valter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3850984/
https://www.ncbi.nlm.nih.gov/pubmed/24268097
http://dx.doi.org/10.1186/1471-2482-13-S2-S20
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author Ferrarese, Alessia G
Solej, Mario
Enrico, Stefano
Falcone, Alessandro
Catalano, Silvia
Pozzi, Giada
Marola, Silvia
Martino, Valter
author_facet Ferrarese, Alessia G
Solej, Mario
Enrico, Stefano
Falcone, Alessandro
Catalano, Silvia
Pozzi, Giada
Marola, Silvia
Martino, Valter
author_sort Ferrarese, Alessia G
collection PubMed
description BACKGROUND: Gallbladder carcinoma is a rare high malignancy neoplasm. The incidence of intra or post-operative incidental gallbladder carcinoma diagnosis is estimated between 0,2 and 2,8%. Primary aim of our study is to evaluate incidental gallbladder carcinoma's incidence in our experience. METHODS: We retrospectively reviewed our Surgery Division's experience about the totality of laparoscopic cholecystectomies with post-operative histological evidence of incidental gallbladder cancer. We evaluated patients' characteristics, surgical related variables, histological response, surgivcal radicalization characteristics and surgical outcome. RESULTS: In the considered sample we observed 7 accidental gallbladder adenocarcinomas in post-operative histological examination. Pathological results were:1 pT1b N0 (G1), 2 pT2 N0 (G2), 2 pT2 N1 (G3b), 2 pT3 N1 (G3b) (Table 1). In 5 cases we performed neoplasm radicalization surgery with standard procedure revision. Two patients died before radicalization. Median global survival was 34 months. CONCLUSION: With the increase of laparoscopic cholecystectomies both elective and urgent performed in our centre we observed also an increase of incidentally diagnosed gallbladder neoplasms. Early diagnosis, meticulous peri-operative study and accurate surgical strategy are essential factors to obtain good results in incidental gallbladder cancer.
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spelling pubmed-38509842013-12-13 Diagnosis of incidental gallbladder cancer after laparoscopic cholecystectomy: our experience Ferrarese, Alessia G Solej, Mario Enrico, Stefano Falcone, Alessandro Catalano, Silvia Pozzi, Giada Marola, Silvia Martino, Valter BMC Surg Research Article BACKGROUND: Gallbladder carcinoma is a rare high malignancy neoplasm. The incidence of intra or post-operative incidental gallbladder carcinoma diagnosis is estimated between 0,2 and 2,8%. Primary aim of our study is to evaluate incidental gallbladder carcinoma's incidence in our experience. METHODS: We retrospectively reviewed our Surgery Division's experience about the totality of laparoscopic cholecystectomies with post-operative histological evidence of incidental gallbladder cancer. We evaluated patients' characteristics, surgical related variables, histological response, surgivcal radicalization characteristics and surgical outcome. RESULTS: In the considered sample we observed 7 accidental gallbladder adenocarcinomas in post-operative histological examination. Pathological results were:1 pT1b N0 (G1), 2 pT2 N0 (G2), 2 pT2 N1 (G3b), 2 pT3 N1 (G3b) (Table 1). In 5 cases we performed neoplasm radicalization surgery with standard procedure revision. Two patients died before radicalization. Median global survival was 34 months. CONCLUSION: With the increase of laparoscopic cholecystectomies both elective and urgent performed in our centre we observed also an increase of incidentally diagnosed gallbladder neoplasms. Early diagnosis, meticulous peri-operative study and accurate surgical strategy are essential factors to obtain good results in incidental gallbladder cancer. BioMed Central 2013-10-08 /pmc/articles/PMC3850984/ /pubmed/24268097 http://dx.doi.org/10.1186/1471-2482-13-S2-S20 Text en Copyright © 2013 Ferrarese et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Ferrarese, Alessia G
Solej, Mario
Enrico, Stefano
Falcone, Alessandro
Catalano, Silvia
Pozzi, Giada
Marola, Silvia
Martino, Valter
Diagnosis of incidental gallbladder cancer after laparoscopic cholecystectomy: our experience
title Diagnosis of incidental gallbladder cancer after laparoscopic cholecystectomy: our experience
title_full Diagnosis of incidental gallbladder cancer after laparoscopic cholecystectomy: our experience
title_fullStr Diagnosis of incidental gallbladder cancer after laparoscopic cholecystectomy: our experience
title_full_unstemmed Diagnosis of incidental gallbladder cancer after laparoscopic cholecystectomy: our experience
title_short Diagnosis of incidental gallbladder cancer after laparoscopic cholecystectomy: our experience
title_sort diagnosis of incidental gallbladder cancer after laparoscopic cholecystectomy: our experience
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3850984/
https://www.ncbi.nlm.nih.gov/pubmed/24268097
http://dx.doi.org/10.1186/1471-2482-13-S2-S20
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