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Area of Science:

  • Oncology
  • Surgical Oncology
  • Gastroenterology

Background:

  • Gallbladder cancer (GBCA) typically presents with a poor prognosis.
  • A subset of patients with GBCA can achieve a cure after treatment.

Purpose of the Study:

  • To analyze the characteristics of patients with GBCA who are cured.
  • To identify factors associated with long-term survival in resected GBCA patients.

Main Methods:

  • Retrospective analysis of a prospectively maintained database of 112 patients who underwent curative resection for GBCA.
  • Follow-up of at least 5 years for all analyzed patients.
  • Multivariate regression analysis to determine independent prognostic factors.

Main Results:

  • Five-year survival rate was 57% among the 112 resected patients.
  • Lymph node and liver compromise were the only independent factors negatively associated with survival.
  • Time to resection, tumor differentiation grade, and wall invasion depth did not independently affect prognosis.

Conclusions:

  • Despite its generally poor prognosis, GBCA is curable in a proportion of patients.
  • Complete (R0) resection is essential for survival.
  • Absence of lymph node and liver infiltration are critical determinants of successful outcomes in GBCA treatment.