摘要
Abstract
Surgical resection is the only curative option for pa⁃tients with gallbladder cancer (GBC). According to author’s ex⁃perience , lymphadenectomy around the hepatoduodenal-liga⁃ment region is recommended to ensure the curative effect. For T1b GBC, cholecystectomy with lymph node dissection is opti⁃mal, and the role of laparoscopic radical surgery remained un⁃certain. For T2 GBC, a wedge resection of the GB bed or a seg⁃mentectomy IVb/V can be performed accompanied with ex⁃tended lymphadenectomy around the hepatoduodenal liga⁃ment. For lesion adjacent to the GB bed, a larger extension of wedge resection is beneficial. For T3,T4 GBCs, the benefit of surgery alone is very limited. Prophylactic extrahepatic bile duct resection should not be seen as mandatory in radical oper⁃ation. With respect to incidental GBC, re-operation is not re⁃quired for Tis,T1a stage GBCs. However, a second radical sur⁃gery is always necessary for T1b, T2, and T3 GBCs. Especial⁃ly, the trochar ports should be resected simultaneously in case of metastasis. For unresectable or recurrent GBC, radical sur⁃gery is always no longer applicable and surgical exploration is not recommended. The primary focus tends to be the improve⁃ment of life quality. The standard surgical regimens for GBC remained controversial. Large prospective studies are warrant⁃ed to further improve resectability and prolong the survival.关键词
胆囊癌/根治性切除/TNM分期Key words
gallbladder carcinoma/radical resection/TNM stage分类
医药卫生
