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[Carcinoma of the gallbladder--current surgical treatment options].
[carcinoma of the gallbladder]
The
effect
of
radical
resection
in
gallbladder
cancer
is
still
area
of
debate
.
To
determine
the
criteria
of
surgery
in
primary
and
incidental
gallbladder
cancer
.
method
:
Eighty
-
four
patients
with
gallbladder
cancer
were
evaluated
between
1999
and
2008
.
Sixty
patients
(
72
.
4
%
)
were
symptomatic
.
Explorative
laparotomy
was
performed
in
40
(
66
.
7
%
)
,
palliative
procedure
in
5
(
8
.
3
%
)
patients
in
stage
pT
3
-
4
,
N
1
,
M
0
-
1
.
Cholecystectomy
only
or
completed
with
wedge
resection
of
the
gallbladder
bed
and
lymfadenectomy
as
radical
procedure
was
performed
only
in
7
(
1
.
7
%
)
patients
in
pT
1
-
2
,
N
0
-
1
,
M
0
.
Twenty
four
(
28
.
6
%
)
patients
had
incidental
gall
bladder
carcinoma
.
Radical
cholecystectomy
was
performed
in
4
(
16
.
7
%
)
-
pT
1
a
,
N
0
,
M
0
,
palliative
cholecystectomy
in
3
patients
(
12
.
5
%
)
-
pT
3
,
N
1
,
M
0
.
Radical
reoperation
was
performed
in
15
(
62
.
5
%
)
patients
in
stage
pT
1
b
-
2
,
N
0
-
1
,
M
0
.
Patients
survival
after
explorative
laparotomy
and
palliative
procedures
was
no
longer
than
7
months
.
Four
from
seven
patients
died
after
radical
operation
12
-
18
months
after
operation
.
Six
from
15
radically
re
-operated
patients
are
alive
in
interval
4
months
and
8
years
.
Nine
patients
died
in
interval
9
months
and
4
years
after
re
-operation
.
Radical
surgical
procedure
is
the
treatment
of
choice
for
patients
with
gall
bladder
carcinoma
especially
in
stage
pT
1
-
2
,
N
0
,
M
0
.
Diseases
Validation
Diseases presenting
"radically re-operated patients"
symptom
carcinoma of the gallbladder
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