Cargando…
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...
Autores principales: | , , , , , , , |
---|---|
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 |
_version_ | 1782294204475506688 |
---|---|
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. |
format | Online Article Text |
id | pubmed-3850984 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT ferraresealessiag diagnosisofincidentalgallbladdercancerafterlaparoscopiccholecystectomyourexperience AT solejmario diagnosisofincidentalgallbladdercancerafterlaparoscopiccholecystectomyourexperience AT enricostefano diagnosisofincidentalgallbladdercancerafterlaparoscopiccholecystectomyourexperience AT falconealessandro diagnosisofincidentalgallbladdercancerafterlaparoscopiccholecystectomyourexperience AT catalanosilvia diagnosisofincidentalgallbladdercancerafterlaparoscopiccholecystectomyourexperience AT pozzigiada diagnosisofincidentalgallbladdercancerafterlaparoscopiccholecystectomyourexperience AT marolasilvia diagnosisofincidentalgallbladdercancerafterlaparoscopiccholecystectomyourexperience AT martinovalter diagnosisofincidentalgallbladdercancerafterlaparoscopiccholecystectomyourexperience |