J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 1307KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 88(9): 1329-1331, 1987

Report on the annual meeting

TREATMENT FOR ADVANCED CARCINOMA OF THE GALLBLADDER

Second Dept. of Surgery, Hamamatsu Univ. School of Medicine, Hamamatsu, Japan

Satoshi Nakamura, Shukichi Sakaguchi, Shohachi Suzuki, Yoshiro Nishiwaki

We have experienced 38 patients of cancer of the gallbladder for 9 years. Two cases of early cancer underwent subsegmentectomy of the liver after cholecystectomy in 2 stages. Exteuded right hepatic lobectomy or right trisegmentectomy were carried out for 10 patients with advanced gallbladder cancer. Portal vein resection, pancreatoduodenectomy and transverse colon resection were combined with the hepatic lobectomy in 3, 4 and 3 cases, respectively. Operative mortality was none. By the pathological examination cancer cells had been frequently spread directly to the liver along the Glisson's sheath and to the perineural space and stroma of the hepatoduodenal ligament in patients with advanced gallbladder cancer.
Two cases of Nevin's stage IV of the gallbladder carcinoma, which underwent right trisegmentectomy and portal vein reconstruction, are doing well for 6 years and 7 years after surgery, respectively. However, the patients who had extended hepatic lobectomy combined with pan-creatoduodenectomy could not survive significantly longer than the patients received conservative treatment.

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