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Surgical Endoscopy

Published in:

01-02-2006

Does laparoscopy worsen the prognosis for incidental gallbladder cancer?

Authors: T. Goetze, V. Paolucci

Published in: Surgical Endoscopy | Issue 2/2006

Abstract

Background

More than 75% of cholecystectomies are done laparoscopically and less than one-third of gallbladder carcinomas are known presurgically. It is supposed that the laparoscopic technique could adversely affect the prognosis of gallbladder cancer.

Methods

The C-A-E has started a register of all cases of cholecystectomy with a postoperative incidental finding of gallbladder carcinoma. The aim is to compare the prospectively collected follow-up data on the outcome of these patients and to answer the question of whether laparoscopic cholecystectomy affects the prognosis of incidental gallbladder cancer.

Results

A total of 377 cases have been recorded so far. These include 201 patients treated by the laparoscopic procedure, 119 by an open procedure, and 57 by an intraoperative conversion. The survival shows a significantly better life expectancy for the patients treated laparoscopically.

Conclusion

The life expectancy is higher for the laparoscopically treated patients and this cannot be explained by the fact that the laparoscopic technique is used to treat the earlier stages of cancer. The access technique does not seem to influence the prognosis for gallbladder carcinomas.

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Title: Does laparoscopy worsen the prognosis for incidental gallbladder cancer?
Authors: T. Goetze
V. Paolucci
Publication date: 01-02-2006
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 2/2006
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-005-0121-x

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Does laparoscopy worsen the prognosis for incidental gallbladder cancer?

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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