Clinical characteristics of incidental or unsuspected gallbladder cancers diagnosed during or after cholecystectomy: A systematic review and meta-analysis
DC Field | Value | Language |
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dc.contributor.author | Choi, Kui Sun | - |
dc.contributor.author | Choi, Sae Byeol | - |
dc.contributor.author | Park, Pyoungjae | - |
dc.contributor.author | Kim, Wan Bae | - |
dc.contributor.author | Choi, Sang Yong | - |
dc.date.accessioned | 2021-09-04T19:50:28Z | - |
dc.date.available | 2021-09-04T19:50:28Z | - |
dc.date.created | 2021-06-15 | - |
dc.date.issued | 2015-01-28 | - |
dc.identifier.issn | 1007-9327 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/94608 | - |
dc.description.abstract | AIM: To perform a systematic review of incidental or unsuspected gallbladder (GB) cancer diagnosed during or after cholecystectomy. METHODS: Data in PubMed, EMBASE, and Cochrane Library were reviewed and 26 publications were included in the meta-analysis. The inclusion criterion for incidental GB cancer was GB cancer diagnosed during or after cholecystectomy that was not suspected at a preoperative stage. Pooled proportions of the incidence, distribution of T stage, and revisional surgery of incidental GB cancer were analyzed. RESULTS: The final pooled population comprised 2145 patients with incidental GB cancers. Incidental GB cancers were found in 0.7% of cholecystectomies performed for benign gallbladder diseases on preoperative diagnosis (95%CI: 0.004-0.012). Nearly 50% of the incidental GB cancers were stage T2 with a pooled proportion of 47.0% (95%CI: 0.421-0.519). T1 and T3 GB cancers were found at a similar frequency, with pooled proportions of 23.0% (95%CI: 0.178-0.291) and 25.1% (95%CI: 0.195-0.317), respectively. The pooled proportion that completed revisional surgery for curative intent was 40.9% (95%CI: 0.329-0.494). The proportion of patients with unresectable disease upon revisional surgery was 23.0% (95%CI: 0.177-0.294). CONCLUSION: A large proportion of incidental GB cancers were T2 and T3 lesions. Revisional surgery for radical cholecystectomy is warranted in T2 and more advanced cancers. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | BAISHIDENG PUBLISHING GROUP INC | - |
dc.subject | EXTRAHEPATIC BILE-DUCT | - |
dc.subject | LAPAROSCOPIC CHOLECYSTECTOMY | - |
dc.subject | SURGICAL-MANAGEMENT | - |
dc.subject | ACUTE CHOLECYSTITIS | - |
dc.subject | RESIDUAL DISEASE | - |
dc.subject | RADICAL SURGERY | - |
dc.subject | CARCINOMA | - |
dc.subject | RESECTION | - |
dc.subject | SURVIVAL | - |
dc.subject | PROGNOSIS | - |
dc.title | Clinical characteristics of incidental or unsuspected gallbladder cancers diagnosed during or after cholecystectomy: A systematic review and meta-analysis | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Choi, Sae Byeol | - |
dc.contributor.affiliatedAuthor | Kim, Wan Bae | - |
dc.identifier.doi | 10.3748/wjg.v21.i4.1315 | - |
dc.identifier.scopusid | 2-s2.0-84921780087 | - |
dc.identifier.wosid | 000348419800032 | - |
dc.identifier.bibliographicCitation | WORLD JOURNAL OF GASTROENTEROLOGY, v.21, no.4, pp.1315 - 1323 | - |
dc.relation.isPartOf | WORLD JOURNAL OF GASTROENTEROLOGY | - |
dc.citation.title | WORLD JOURNAL OF GASTROENTEROLOGY | - |
dc.citation.volume | 21 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 1315 | - |
dc.citation.endPage | 1323 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Gastroenterology & Hepatology | - |
dc.relation.journalWebOfScienceCategory | Gastroenterology & Hepatology | - |
dc.subject.keywordPlus | EXTRAHEPATIC BILE-DUCT | - |
dc.subject.keywordPlus | LAPAROSCOPIC CHOLECYSTECTOMY | - |
dc.subject.keywordPlus | SURGICAL-MANAGEMENT | - |
dc.subject.keywordPlus | ACUTE CHOLECYSTITIS | - |
dc.subject.keywordPlus | RESIDUAL DISEASE | - |
dc.subject.keywordPlus | RADICAL SURGERY | - |
dc.subject.keywordPlus | CARCINOMA | - |
dc.subject.keywordPlus | RESECTION | - |
dc.subject.keywordPlus | SURVIVAL | - |
dc.subject.keywordPlus | PROGNOSIS | - |
dc.subject.keywordAuthor | Gallbladder cancer | - |
dc.subject.keywordAuthor | Laparoscopic surgery | - |
dc.subject.keywordAuthor | Cholecystectomy | - |
dc.subject.keywordAuthor | Revisional surgery | - |
dc.subject.keywordAuthor | Incidental diagnosis | - |
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