Abstract:

Radical surgery is the only curative method for gallbladder carcinoma (gallbladder carcinoma, GBC). Under the guidance of precision surgery concept, the reasonable selection of surgical strategy is of great significance to improve the prognosis of patients based on AJCC TNM staging of GBC. For stage 0 and stage T1a GBC, radical resection could be achieved as long as the gallbladder is intact and the surgical margin of the cystic duct is negative. For stage T1b and T2 GBC, in order to achieve radical resection, the extent of hepatectomy should be determined according to T staging and lymph node dissection of hepatoduodenal ligament should be done. For incidental GBC which is pathologically confirmed as stage T1b or above, it is necessary to perform a radical operation as soon as possible. However, depending on the staging of GBC, there were more controversies about the timing and extent of re-operation. In recent years, with the rapid development of minimally invasive technology and the promotion of robot surgery, laparoscopic treatment of GBC is gradually getting rid of the limitations of surgical technology, and the therapeutic effect is gradually recognized by clinicians. Nevertheless, laparoscopic surgery for GBC has not been the standardized treatment and needs to be with caution.

Key words: Gallbladder neoplasms, Laparoscopic surgery, Radical surgery