Abstract:
BACKGROUND:Gallbladder (GB) cancer may be discovered incidentally by histopathologic examination following simple cholecystectomy. Incidental GB cancer > or =T2 or > or =N1 needs a second radical resection. It is a matter of concern whether the prognosis may be worse in patients with T2GB cancer who undergo a second radical resection than in those who undergo primary radical resection. METHODS:Between March 2001 and March 2009, 21 patients underwent a one-step operation (OSO group), and 17 patients underwent a two-step operation (TSO group) for T2GB cancer. We compared clinicopathologic factors and survival between patients in the OSO group (n = 9) and those in the TSO group (n = 9) with T2N0M0 GB cancer and between patients in the OSO group (n = 12) and those in the TSO group (n = 8) with T2N1M0 GB cancer. RESULTS:Except for patient age, clinicopathologic factors as well as disease-free survival were not significantly different between the OSO group and the TSO group in the aforementioned cancer stages. Patient age was significantly higher in the OSO group than in the TSO group. CONCLUSIONS:Second completion radical resection following initial simple cholecystectomy (TSO) provided a survival benefit similar to that of primary radical surgery (OSO) for patients with both T2N0M0 and T2N1M0 GB cancers in our study.
journal_name
World J Surgjournal_title
World journal of surgeryauthors
Cho SY,Park SJ,Kim SH,Han SS,Kim YK,Lee KWdoi
10.1007/s00268-010-0522-4subject
Has Abstractpub_date
2010-07-01 00:00:00pages
1572-8issue
7eissn
0364-2313issn
1432-2323journal_volume
34pub_type
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journal_title:World journal of surgery
pub_type: 杂志文章
doi:10.1007/s00268-020-05537-8
更新日期:2020-08-01 00:00:00
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journal_title:World journal of surgery
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更新日期:2006-03-01 00:00:00
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journal_title:World journal of surgery
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更新日期:1996-02-01 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
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更新日期:1990-05-01 00:00:00
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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
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更新日期:1996-09-01 00:00:00
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journal_title:World journal of surgery
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更新日期:2002-04-01 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:2020-03-01 00:00:00
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journal_title:World journal of surgery
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更新日期:2009-01-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2020-04-01 00:00:00
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journal_title:World journal of surgery
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doi:10.1007/s00268-005-0359-4
更新日期:2006-05-01 00:00:00
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journal_title:World journal of surgery
pub_type: 杂志文章
doi:10.1007/s00268-016-3504-3
更新日期:2016-08-01 00:00:00
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journal_title:World journal of surgery
pub_type: 杂志文章,评审
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pub_type: 杂志文章
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更新日期:2014-10-01 00:00:00
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pub_type: 临床试验,杂志文章
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更新日期:2004-09-01 00:00:00
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更新日期:2020-07-01 00:00:00
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更新日期:1993-09-01 00:00:00
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journal_title:World journal of surgery
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1991-03-01 00:00:00
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更新日期:2008-07-01 00:00:00
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journal_title:World journal of surgery
pub_type: 杂志文章,多中心研究
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更新日期:2009-04-01 00:00:00
abstract:BACKGROUND:Strong evidence has confirmed the benefit of laparoscopy in colorectal cancer resection but remains a challenging procedure. It is not clear that such promising results in selected patients translate into a favorable risk-benefit balance in real practice. We conducted a multicenter national observational reg...
journal_title:World journal of surgery
pub_type: 杂志文章,多中心研究
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更新日期:2015-08-01 00:00:00
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pub_type: 杂志文章
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更新日期:2018-12-01 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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更新日期:2018-08-01 00:00:00