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Practical Guidelines for the Surgical Treatment of Gallbladder Cancer

Authors
Lee, Seung EunKim, Kyung SikKim, Wan BaeKim, In-GyuNah, Yang WonRyu, Dong HeePark, Joon SeongYoon, Myung HeeCho, Jai YoungHong, Tae HoHwang, Dae WookChoi, Dong Wook
Issue Date
10월-2014
Publisher
KOREAN ACAD MEDICAL SCIENCES
Keywords
Gallbladder; Neoplasm; General Surgery; Guideline
Citation
JOURNAL OF KOREAN MEDICAL SCIENCE, v.29, no.10, pp.1333 - 1340
Indexed
SCIE
SCOPUS
KCI
Journal Title
JOURNAL OF KOREAN MEDICAL SCIENCE
Volume
29
Number
10
Start Page
1333
End Page
1340
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/97225
DOI
10.3346/jkms.2014.29.10.1333
ISSN
1011-8934
Abstract
At present, surgical treatment is the only curative option for gallbladder (GB) cancer. Many efforts therefore have been made to improve resectability and the survival rate. However, GB cancer has a low incidence, and no randomized, controlled trials have been conducted to establish the optimal treatment modalities. The present guidelines include recent recommendations based on current understanding and highlight controversial issues that require further research. For T1a GB cancer, the optimal treatment modality is simple cholecystectomy, which can be carried out as either a laparotomy or a laparoscopic surgery. For T1b GB cancer, either simple or an extended cholecystectomy is appropriate. An extended cholecystectomy is generally recommended for patients with GB cancer at stage T2 or above. In extended cholecystectomy, a wedge resection of the GB bed or a segmentectomy IVb/V can be performed and the optimal extent of lymph node dissection should include the cystic duct lymph node, the common bile duct lymph node, the lymph nodes around the hepatoduodenal ligament (the hepatic artery and portal vein lymph nodes), and the posterior superior pancreaticoduodenal lymph node. Depending on patient status and disease severity, surgeons may decide to perform palliative surgeries.
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