scholarly journals Laparoscopic Surgery for Gallbladder Cancer: An Expert Consensus Statement

2018 ◽  
Vol 36 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Ho-Seong Han ◽  
Yoo-Seok Yoon ◽  
Anil K. Agarwal ◽  
Giulio Belli ◽  
Osamu Itano ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Gallbladder Cancer ◽  
Consensus Statement ◽  
Early Stage ◽  
Consensus Meeting ◽  
Expert Opinions ◽  
Extended Cholecystectomy ◽  
Careful Manipulation ◽  
Laparoscopic Reoperation ◽  
Bile Spillage

Background: Despite the increasing number of reports on the favorable outcomes of laparoscopic surgery for gallbladder cancer (GBC), there is no consensus regarding this surgical procedure. Objective: The study aimed to develop a consensus statement on the application of laparoscopic surgery for GBC based on expert opinions. Methods: A consensus meeting among experts was held on September 10, 2016, in Seoul, Korea. Results: Early concerns regarding port site/peritoneal metastasis after laparoscopic surgery have been abated by improved preoperative recognition of GBC and careful manipulation to avoid bile spillage. There is no evidence that laparoscopic surgery is associated with decreased survival compared with open surgery in patients with early-stage GBC if definitive resection during/after laparoscopic cholecystectomy is performed. Although experience with laparoscopic extended cholecystectomy for GBC has been limited to a few experts, the postoperative and survival outcomes were similar between laparoscopic and open surgeries. Laparoscopic reoperation for postoperatively diagnosed GBC is technically challenging, but its feasibility has been demonstrated by a few experts. Conclusions: Laparoscopic surgery for GBC is still in the early phase of the adoption curve, and more evidence is required to assess this procedure.

scholarly journals Survey Results of the Expert Meeting on Laparoscopic Surgery for Gallbladder Cancer and a Review of Relevant Literature

2018 ◽  
Vol 36 (1) ◽  
pp. 7-12 ◽  
Author(s):  
Yoo-Seok Yoon ◽  
Ho-Seong Han ◽  
Anil Agarwal ◽  
Giulio Belli ◽  
Osamu Itano ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Gallbladder Cancer ◽  
Operative Procedure ◽  
Relevant Literature ◽  
Surgical Techniques ◽  
Current Status ◽  
A Value ◽  
Extended Cholecystectomy ◽  
Expert Meeting ◽  
Survey Results

Background: Favorable outcomes of laparoscopic surgery for gallbladder cancer (GBC) have been reported; yet consensus on the indications and surgical techniques for laparoscopic surgery for GBC is lacking. Objective: To evaluate the current status of laparoscopic surgery for GBC by analyzing the results of a survey of experts and by reviewing the relevant published literature. Methods: Before an expert meeting was held on September 10, 2016 in Seoul, Korea, an international survey was undertaken of expert surgeons in the field of GBC surgery. Results: The majority of surgeons who responded agreed that laparoscopic surgery has an acceptable role for suspicious or early GBC, and that laparoscopic extended cholecystectomy has a value comparable to that of open surgery in selected patients with GBC. However, the selection criteria for laparoscopic surgery for overt GBC and the details of the surgical techniques varied among surgeons. Conclusions: This survey and literature review revealed that laparoscopic surgery for GBC is performed in highly selected cases. However, the favorable outcomes in the published reports and the positive view of experienced surgeons for this operative procedure suggest a high likelihood that laparoscopic surgery will be more frequently performed for GBC in the future.

scholarly journals Prognostic Significance of Tumor Location in T2 Gallbladder Cancer: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 10 (15) ◽  
pp. 3317
Author(s):  
Hyun Kang ◽  
Yoo Shin Choi ◽  
Suk-Won Suh ◽  
Geunjoo Choi ◽  
Jae Hyuk Do ◽  
...  
Keyword(s):  
Gallbladder Cancer ◽  
Large Scale ◽  
Treatment Guidelines ◽  
Prognostic Significance ◽  
Tumor Location ◽  
Cochrane Library ◽  
Poor Prognostic Factor ◽  
Simple Cholecystectomy ◽  
Survival Difference ◽  
Extended Cholecystectomy

(1) Background: The AJCC Cancer Staging Manual, Eighth Edition, subdivided T2 GBC into T2a and T2b. However, there still exist a lack of evidence on the prognostic significance of tumor location. The aim of the present study was to examine the existing evidence to determine the prognostic significance of tumor location of T2 gallbladder cancer (GBC) and to evaluate the optimal surgical extent according to tumor location. (2) Methods: We searched for relevant literature published in the electronic databases PubMed, MEDLINE, Web of Science, Cochrane Library, and Embase before September 2020 using search terms related to gallbladder, cancer, and stage. Data were weighted and pooled using random-effects modeling. (3) Results: Seven studies were deemed eligible for inclusion, representing a cohort of 1789 cases of resected T2 GBC. The overall survival for T2b tumor was significantly worse than that for T2a tumor (HR, 2.141; 95% confidence interval (CI), 1.140 to 4.023; I2 = 71.4%; Pchi2 = 0.007). The rate of lymph node metastasis was lower in the T2a group (26.6%) than in the T2b group (36.6%) (OR, 2.164; 95% CI, 1.309 to 3.575). There was no evidence of a survival difference between the patients who underwent extended cholecystectomy and simple cholecystectomy in T2a GBC (OR, 0.802; 95% CI, 0.618 to 1.042) and T2b GBC (OR, 0.820; 95% CI, 0.620 to 1.083). (4) Conclusions: Hepatic side tumor was a significant poor prognostic factor in T2 GBC. Extended cholecystectomy and simple cholecystectomy showed comparable survival outcomes in T2 GBC, and additional large-scale prospective studies are warranted to establish evidence-based treatment guidelines for T2 GBC.

Management of early-stage gallbladder cancer

2021 ◽  
Author(s):  
Doris Wagner ◽  
Georg Werkgartner ◽  
Klaus Kaczirek
Keyword(s):  
Gallbladder Cancer ◽  
Early Stage

Learning curve and surgical outcomes for laparoscopic surgery, including pelvic lymphadenectomy, for early stage endometrial cancer

2019 ◽  
Vol 49 (6) ◽  
pp. 521-524 ◽  
Author(s):  
Shinichi Togami ◽  
Toshihiko Kawamura ◽  
Mika Fukuda ◽  
Shintaro Yanazume ◽  
Masaki Kamio ◽  
...  
Keyword(s):  
Endometrial Cancer ◽  
Laparoscopic Surgery ◽  
Learning Curve ◽  
Surgical Outcomes ◽  
Early Stage ◽  
Pelvic Lymphadenectomy ◽  
Early Stage Endometrial Cancer

A Critical Analysis of the Surgical Management of Early-Stage Gallbladder Cancer in the United States

2008 ◽  
Vol 13 (4) ◽  
pp. 722-727 ◽  
Author(s):  
Eric H. Jensen ◽  
Anasooya Abraham ◽  
Elizabeth B. Habermann ◽  
Waddah B. Al-Refaie ◽  
Selwyn M. Vickers ◽  
...  
Keyword(s):  
United States ◽  
Gallbladder Cancer ◽  
Surgical Management ◽  
Critical Analysis ◽  
Early Stage ◽  
The United States

The pre-hospital management of life-threatening chest injuries: A consensus statement from the Faculty of Pre-Hospital Care, Royal College of Surgeons of Edinburgh

Trauma ◽  
2016 ◽  
Vol 19 (1) ◽  
pp. 54-62 ◽  
Author(s):  
Caroline Leech ◽  
Keith Porter ◽  
Richard Steyn ◽  
Colville Laird ◽  
Imogen Virgo ◽  
...  
Keyword(s):  
Royal College ◽  
Hospital Care ◽  
Consensus Statement ◽  
Flail Chest ◽  
Tension Pneumothorax ◽  
Hospital Management ◽  
Consensus Meeting ◽  
Multiple Rib Fractures ◽  
Chest Injuries ◽  
Life Threatening

‘The pre-hospital management of chest injury: a consensus statement’ was originally published by the Faculty of Pre-hospital Care, Royal College of Surgeons of Edinburgh in 2007. To update the pre-existing guideline, a consensus meeting of stakeholders was held by the Faculty of Pre-hospital Care in Coventry in November 2013. This paper provides a guideline for the pre-hospital management of patients with the life-threatening chest injuries of tension pneumothorax, open pneumothorax, massive haemothorax, flail chest (including multiple rib fractures), and cardiac tamponade.

Laparoscopic extended cholecystectomy for T3 gallbladder cancer

2017 ◽  
Vol 32 (6) ◽  
pp. 2984-2985 ◽  
Author(s):  
Sungho Kim ◽  
Yoo-Seok Yoon ◽  
Ho-Seong Han ◽  
Jai Young Cho ◽  
YoungRok Choi
Keyword(s):  
Gallbladder Cancer ◽  
Extended Cholecystectomy
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