Abstract:
:Little evidence is available regarding long-term survival of patients with gallbladder cancer that is discovered at the time of laparoscopic cholecystectomy (LC). Therefore the present study was performed to evaluate long-term outcomes of this disease. Of 1546 patients who underwent LC for benign gallbladder disease between January 1992 and January 2002, 8 patients (0.5%) had cancers that were found during or after LC. The median follow-up period was 55 months (range: 36-142 months). The gallbladder was resected without perforation in all cases. During surgery there was a suspicion of malignancy in 6 of 8 cases. Frozen section analysis showed that 2 had TNM stage Tis tumors, 2 had T1a tumors, and 2 had T2 tumors. Two patients with T2 tumors were immediately converted to extended cholecystectomy. The final pathology revealed another 2 tumors, and demonstrated that 3 patients had Tis tumors, 3 had T1a tumors, and 2 had T2N0M0 tumors. None of the patients underwent additional surgery. All patients survived with no evidence of recurrence during the median follow-up of 55 months. In conclusion, before and during LC, we have not overlooked T2 or more advanced tumor, which requires additional procedures for curative resection. This might result in good survival. We consider that an intensive preoperative work-up and meticulous inspection of the opened gallbladder should be mandatory to detect gallbladder cancer in patients who undergo LC. At present, this is not routinely practiced.
journal_name
World J Surgjournal_title
World journal of surgeryauthors
Akatsu T,Ueda M,Shimazu M,Wakabayashi G,Aiura K,Tanabe M,Kawachi S,Kido H,Kitajima Mdoi
10.1007/s00268-005-7886-xkeywords:
subject
Has Abstractpub_date
2005-09-01 00:00:00pages
1106-9, discussion 1110issue
9eissn
0364-2313issn
1432-2323journal_volume
29pub_type
杂志文章abstract:BACKGROUND:Exact tissue identification during parathyroidectomy is essential to successfully cure hyperparathyroidism. PTH level determination from tissue aspirates has been advocated as a "biochemical frozen section" for parathyroid tissue identification. We investigated the sensitivity and specificity of this method ...
journal_title:World journal of surgery
pub_type: 杂志文章
doi:10.1007/s00268-009-0351-5
更新日期:2010-03-01 00:00:00
abstract:BACKGROUND:Laparoscopic cholecystectomy is first-line treatment for uncomplicated gallstone disease in high-income countries due to benefits such as shorter hospital stays, reduced morbidity, more rapid return to work, and lower mortality as well-being considered cost-effective. However, there persists a lack of uptake...
journal_title:World journal of surgery
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更新日期:2017-05-01 00:00:00
abstract::Childhood papillary thyroid carcinoma is associated with more locally aggressive and more frequent distant disease than its adult counterpart. Recurrence rates tend to be higher in children, but cause-specific mortality remains low. Optimal initial treatment of childhood papillary thyroid carcinoma should include tota...
journal_title:World journal of surgery
pub_type: 杂志文章,评审
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更新日期:2004-12-01 00:00:00
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pub_type: 杂志文章
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更新日期:2019-10-01 00:00:00
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journal_title:World journal of surgery
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journal_title:World journal of surgery
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journal_title:World journal of surgery
pub_type: 杂志文章,评审
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journal_title:World journal of surgery
pub_type: 杂志文章
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pub_type: 杂志文章
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pub_type: 杂志文章,评审
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pub_type: 杂志文章,评审
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更新日期:2019-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:2008-12-01 00:00:00
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journal_title:World journal of surgery
pub_type: 杂志文章
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更新日期:2021-02-01 00:00:00
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pub_type: 杂志文章
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更新日期:2013-01-01 00:00:00
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journal_title:World journal of surgery
pub_type: 杂志文章
doi:10.1007/s002689900347
更新日期:1998-01-01 00:00:00
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journal_title:World journal of surgery
pub_type: 杂志文章
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更新日期:1992-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:2015-06-01 00:00:00
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更新日期:2014-12-01 00:00:00
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pub_type: 杂志文章
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更新日期:2012-12-01 00:00:00
abstract::The authors' affiliations are updated as reflected here. ...
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pub_type: 杂志文章,已发布勘误
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更新日期:2020-08-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:1990-07-01 00:00:00
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journal_title:World journal of surgery
pub_type: 杂志文章
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更新日期:2015-08-01 00:00:00
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journal_title:World journal of surgery
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更新日期:1998-08-01 00:00:00
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更新日期:2009-08-01 00:00:00
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journal_title:World journal of surgery
pub_type: 杂志文章
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更新日期:2007-07-01 00:00:00
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journal_title:World journal of surgery
pub_type: 杂志文章,随机对照试验
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更新日期:2012-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:2018-06-01 00:00:00
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journal_title:World journal of surgery
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更新日期:1999-01-01 00:00:00
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journal_title:World journal of surgery
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