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Unexpected gallbladder cancer during laparoscopic cholecystectomy.
Nusret Akyürek1, Oktay Irkörücü, Bülent Salman
1Department of General Surgery, Hepato Pancreato Biliary Surgery Unit, Gazi University Medical School, Ankara, Turkey.
Journal of Hepato-Biliary-Pancreatic Surgery
|November 19, 2004
Summary
Surgeons can effectively detect unexpected gallbladder diseases during laparoscopic cholecystectomy. A simple inspection and palpation technique identified gallbladder cancer and other pathologies with high accuracy.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Oncology
Background:
- Laparoscopic cholecystectomy (LC) is a common procedure for gallstones.
- Incidental gallbladder pathologies can be missed during standard LC.
Purpose of the Study:
- To evaluate the effectiveness of surgeons in identifying incidental gallbladder pathologies during LC.
Main Methods:
- 548 patients undergoing LC for gallstones were studied.
- Surgeons inspected and palpated the gallbladder after removal.
- Suspicious findings were marked and sent for histopathological examination.
Main Results:
- Surgeons identified 50 suspicious specimens; 15 had incidental pathologies.
- Five cases of gallbladder cancer (GBC) were detected.
- The procedure showed 78.9% sensitivity and 93% specificity.
Conclusions:
- Simple intraoperative gallbladder inspection and palpation aid in diagnosing incidental pathologies.
- This method can improve detection rates for gallbladder cancer and other conditions.