J.Jpn. Surg. Soc.. 87(9): 1087-1089, 1986

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Report on the annual meeting

PROBLEMS OF OPERATION FOR GALLBLADDER CANCER

The blind points of radical operation for gallbladder cancer and the problems of diagnosis and surgical procedure for hepatectomy on its hepatic infiltration are discussed. When the cancer exists at the neck of gallbladder, resection of the common bile duct should be performed in case of Stage I or II with Bo. And it is possible to remove effectively lymph nodes in the hepatoduodenal Iigament by this procedure. Partial hepatectomy for hepatic infiltration is performed at more than 2cm apart from the edge of the tumor infiltration by means of ultrasonic guiding intraoperatively addingto the exact evaluation of the sope of infiltration with preoperative diagnostic procedures such as ultrasonogram, computer tomogram and selective angiogram. The authors emphasize that the dissection of lymph nodes with resection of the common bile duct should be done aggressively because it does not take much time to do partial hepatectomy using this procedure.

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