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Gallbladder carcinoma incidentally encountered during laparoscopic cholecystectomy: how to deal with it.
[carcinoma of the gallbladder]
Gallbladder
cancer
(
GBC
)
,
characterised
by
rapid
progression
and
a
poor
prognosis
with
a
high
mortality
rate
,
is
a
complex
disease
to
treat
.
Incidental
gallbladder
carcinoma
(
IGBC
)
is
defined
as
carcinoma
of
the
gallbladder
suspected
for
the
first
time
during
cholecystectomy
or
accidentally
found
on
histological
examination
of
the
gallbladder
.
With
the
increasingly
widespread
acceptance
of
laparoscopic
cholecystectomy
(
LC
)
and
difficulties
in
diagnosing
GBC
preoperatively
,
the
number
of
cases
of
IGBC
during
and
after
LC
has
increased
.
However
,
management
of
IGBC
is
a
difficult
issue
in
the
absence
of
established
guidelines
.
Problems
associated
with
IGBC
related
to
LC
are
the
decisions
of
whether
,
when
and
how
to
perform
additional
surgery
.
Controversy
remains
regarding
the
effectiveness
of
additional
resection
in
different
stages
of
GBC
.
This
review
gives
an
overview
of
IGBC
related
to
LC
,
and
further
discusses
the
preoperative
,
intraoperative
and
postoperative
diagnosis
and
management
of
IGBC
during
LC
.