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Is laparoscopic cholecystectomy hazardous for gallbladder cancer?
1First Department of Surgery, Hamamatsu University School of Medicine, Japan.
Surgery
|April 4, 1998
Summary
Laparoscopic cholecystectomy (LC) may increase abdominal wall recurrence risk for unexpected gallbladder cancer. However, medium-term prognosis for these patients is not worsened by LC, suggesting its continued use is appropriate.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Unexpected gallbladder cancer diagnosed post-laparoscopic cholecystectomy (LC) raises concerns about potential worsening of prognosis.
- Case reports suggest a risk of fatal abdominal wall cancer recurrence after LC.
Purpose of the Study:
- To investigate the frequency of abdominal wall cancer recurrence after LC.
- To evaluate the prognosis of patients with unexpected gallbladder cancer diagnosed post-LC.
Main Methods:
- A clinicopathologic study of 30 patients with postoperatively diagnosed gallbladder cancer after LC.
- Comparison of cumulative survival rates with those of gallbladder cancer diagnosed after open cholecystectomy.
Main Results:
- Abdominal wall recurrence occurred in 3 patients (2 fatal).
- 3-year survival rates were 100% for early and 70% for advanced gallbladder cancer.
- These survival rates are comparable to those following open cholecystectomy.
Conclusions:
- While abdominal wall recurrence incidence increased, laparoscopy did not worsen medium-term prognosis.
- Excluding patients with cholecystitis or gallbladder wall hypertrophy from LC due to potential gallbladder cancer is not necessary.