[Surgical treatment for advanced gallbladder cancer]

To rise the resection rate and survival rate for advanced gallbladder cancer (GBC), we operated on forty cases of advanced GBC. 34 cases had obstractive jundice, and 8 palpable abdominal mass. Externded radical cholecystectomy was performed in 11 cases of advanced GBC in which the tumor invaded the surrounding organs or tissues but without distantce metastasis. Follow-up showed that the survival period was between 8 and 32 months (average 18.8 months), 1 and 2 years survival rates were 54.4% and 27.3%. Palliative operations were performed in other 29 advanced GBC cases of distant metastasis. All of the cases died within one year. We suggest that extended radical cholecystectomy is effective for advanced GBC.