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- W1564148838 abstract "BACKGROUND This study attempted to determine whether aggressive surgical therapy is warranted after gallbladder carcinoma is discovered during or after laparoscopic cholecystectomy. METHODS The clinical course and outcome of 42 consecutive patients with laparoscopically discovered gallbladder carcinoma seen over a 5-year period at a tertiary referral center were examined. Nine of the patients had TNM classified T2 tumors and 32 had full thickness penetration of the gallbladder including 16 T3 and 16 T4 tumors. RESULTS At reexploration, 22 of the patients were found to have lymph node, peritoneal, or bilateral liver disease precluding reresection. Nineteen patients underwent liver resection (13 trisegmentectomies and 6 bisegmentectomies), portal lymphadenectomy, and hepaticojejunostomy as the definitive surgical procedure for the carcinoma. There was 1 perioperative death, and the median hospital stay was 11 days (range, 6-28 days). At last follow-up 17 of the 22 nonresected patients had died, with a median survival of 5 months. With a follow-up of 16 months, only 3 of the resected patients had died. CONCLUSIONS The authors conclude that aggressive resection of gallbladder carcinoma discovered laparoscopically is safe and effective. Cancer 1998;83:423-427. © 1998 American Cancer Society." @default.
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- W1564148838 date "1998-08-01" @default.
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- W1564148838 title "Gallbladder carcinoma discovered during laparoscopic cholecystectomy" @default.
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- W1564148838 doi "https://doi.org/10.1002/(sici)1097-0142(19980801)83:3<423::aid-cncr9>3.0.co;2-p" @default.
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