TY - JOUR
T1 - Surgical indications and extent of resection in gallbladder cancer
AU - Shoup, Margo
AU - Fong, Yuman
PY - 2002/10
Y1 - 2002/10
N2 - Gallbladder cancer often is diagnosed at an advanced stage when the prognosis is dismal. Early tumors (T1) that are recognized incidentally are curable with simple cholecystectomy alone. All other tumors should be resected with an extended cholecystectomy (T2) or with an extensive liver resection that obtains the negative margins. Patients with tumors greater than T1 should undergo lymphadenectomy that includes the porta hepatis and superior pancreatic nodes. Long-term survival with this approach is possible, even with T3 and T4 tumors. The role of extended lymphadenectomy, including the retropancreatic and aortocaval basins, is unclear and should be attempted only in selected cases.
AB - Gallbladder cancer often is diagnosed at an advanced stage when the prognosis is dismal. Early tumors (T1) that are recognized incidentally are curable with simple cholecystectomy alone. All other tumors should be resected with an extended cholecystectomy (T2) or with an extensive liver resection that obtains the negative margins. Patients with tumors greater than T1 should undergo lymphadenectomy that includes the porta hepatis and superior pancreatic nodes. Long-term survival with this approach is possible, even with T3 and T4 tumors. The role of extended lymphadenectomy, including the retropancreatic and aortocaval basins, is unclear and should be attempted only in selected cases.
UR - http://www.scopus.com/inward/record.url?scp=0036813059&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0036813059&partnerID=8YFLogxK
U2 - 10.1016/S1055-3207(02)00041-8
DO - 10.1016/S1055-3207(02)00041-8
M3 - Review article
C2 - 12607584
AN - SCOPUS:0036813059
VL - 11
SP - 985
EP - 994
JO - Surgical Oncology Clinics of North America
JF - Surgical Oncology Clinics of North America
SN - 1055-3207
IS - 4
ER -
