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作 者:Gaetano Piccolo Matteo Barabino Guglielmo NiccolòPiozzi Paolo Pietro Bianchi
机构地区:[1]Department of Health Sciences(DISS),University of Milan,San Paolo Hospital,Milan 20142,Lombardy,Italy [2]Department of Colorectal Surgery,Portsmouth Hospitals University NHS Trust,Portsmouth,United Kingdom
出 处:《World Journal of Gastroenterology》2024年第32期3739-3742,共4页世界胃肠病学杂志(英文版)
摘 要:Gallbladder cancer(GBC)is a rare disease with a poor prognosis.Simple cholecystectomy may be an adequate treatment only for very early disease(Tis,T1a),whereas reoperation is recommended for more advanced disease(T1b and T2).Radical cholecystectomy should have two fundamental objectives:To radically resect the liver parenchyma and to achieve adequate clearance of the lymph nodes.However,recent studies have shown that compared with lymph node dissection alone,liver resection does not improve survival outcomes.The oncological roles of lymphadenectomy and liver resection is distinct.Therefore,for patients with incidental GBC without liver invasion,hepatic resection is not always mandatory.
关 键 词:Incidental gallbladder cancer REOPERATION Radical cholecystectomy Early stage Liver resection
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