Present Status and Development of Laparoscopic Surgery for Gallbladder Cancer

doi:10.3877/cma.j.issn.1674-3946.2020.03.001

Abstract

Abstract:

Gallbladder cancer is the most common malignant tumor in the biliary tract system. The prognosis of gallbladder cancer is poor because of its insidious early symptoms, high degree of malignancy and high incidence of recurrence and metastasis. Radical surgery is still the only curative treatment. Laparoscopic surgery has been widely developed in treating digestive tract tumors, but its application in gallbladder cancer is still in the exploration stage. Combined with the current domestic and foreign research reports, we believe that laparoscopic surgery with regional lymph node dissection or partial hepatectomy is safe and feasible for radical resection of gallbladder carcinoma at T2 stage or earlier stage. The incidence of perioperative complications and overall prognosis of laparoscopic surgery are comparable to those of open surgery. In addition, laparoscopy has the advantage of less trauma and faster recovery. However, it is necessary to select the patients strictly and carry out more accurate preoperative evaluation and staging to maximize the patients’ benefit. However, for gallbladder cancer above T3 stage, there is no clear clinical evidence that laparoscopic surgery could benefit patients, thus it should be carried out cautiously.

Key words: Laparoscopes, Gallbladder neoplasms, Surgical procedures, minimally invasive

Yingbin Liu, Runfa Bao. Present Status and Development of Laparoscopic Surgery for Gallbladder Cancer[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2020, 14(03): 217-220.

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