Laparoscopic liver resection with lymph node dissection for gallbladder tumors suspected to be T1b/T2 carcinoma

作     者：Masashi Isetani Zenichi Morise Akihiko Horiguchi 

作者机构：Department of SurgeryFujita Health University Banbuntane Houtokukai HospitalNagoyaAichi 454-8509Japan Department of SurgeryFujita Health University School of MedicineToyoakeAichi 470-1192Japan 

出 版 物：《Hepatoma Research》 (肝癌研究（英文版）)

年 卷 期：2017年第3卷第8期

页      面：170-177页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Gallbladder carcinoma laparoscopic surgery laparoscopic liver resection lymph node dissection 

摘      要：Aim: The short-term perioperative results of laparoscopic treatment of gallbladder (GB) carcinoma were evaluated to determine whether this technique can be a feasible treatment option. Methods: Ten patients with fundus/body GB tumors (GBTs) underwent laparoscopic liver resection (LLR) and lymph node dissection. Additionally, 124 patients underwent LLR for liver tumors. These 124 LLRs included 79 partial resections (PRs), 11 left lateral sectionectomies (LLSs), 25 anatomical resections (ARs), and 9 small ARs (SARs). The operation time (OT), intraoperative blood loss (BL), and postoperative length of hospital stay (LOS) were compared between the GBT and various LLR groups. Results: The median (range) OT in the GBT, PR, LLS, AR, and SAR groups was 298 (186-488), 245 (84-700), 328 (150-682), 458 (224-848), and 352 (274-696) min, respectively. The BL was 109 (10-500), 50 (0/uncountable-3,270), 100 (10-516), 375 (25-3,569), and 705 (35-1,920) mL, respectively. The LOS was 16 (8-105), 15 (5-254), 13 (11-52), 22 (8-44), and 15 (8-44) days, respectively. The OT and BL were significantly different between the GBT and AR groups. Conclusion:Laparoscopic surgery could be a good treatment option for GBTs suspected to be T1b/T2 GB carcinoma in the GB body/fundus without cystic duct invasion.