Extent of Resection According to Stage

Patients presenting with gallbladder mass on imaging or operative exploration:

■ T2/3, N0/1, M0: radical cholecystectomy and lymph node dissection

■ Unilateral vascular involvement: extended lobectomy and lymph node dissection

■ T4, N0/1, M0: extended lobectomy and lymph node dissection, possible adjacent organ resection

■ N2 or M1: no curative surgery, possible palliation by biliary or gastric bypass

Patients with cancer discovered as an incidental finding after cholecystectomy for presumed cholelithiasis:

■ T1 with negative liver and cystic duct margin: no further therapy

■ T1 with positive cystic duct margin: re-resection of cystic duct or common bile duct to negative margins

■ T2/3/4, M0: extended lobectomy, common bile duct resection, lymph node dissection, and resection of laparoscopic port sites

■ N2 or M1: no curative surgery (palliation)

Was this article helpful?

0 0
How to Stay Young

How to Stay Young

For centuries, ever since the legendary Ponce de Leon went searching for the elusive Fountain of Youth, people have been looking for ways to slow down the aging process. Medical science has made great strides in keeping people alive longer by preventing and curing disease, and helping people to live healthier lives. Average life expectancy keeps increasing, and most of us can look forward to the chance to live much longer lives than our ancestors.

Get My Free Ebook


Post a comment