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

[Abstract] [Full Text PDF] （in Japanese / 1723KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 88(9): 1343-1346, 1987

Report on the annual meeting

CLINICAL SIGNIFICANCE OF EXTENDED OPERATION FOR ADVANCED CARCINOMA OF THE GALLBLADDER

The First Department of Surgery, Nagoya University School of Medicine, Nagoya, Japan

Yuji Nimura, Naokazu Hayakawa, Junichi Kamiya, Satoshi Kondo, Hiroshi Kohno, Shigehiko Shionoya

Relative noncurative resection for advanced carcinoma of the gallbladder have been performed in 24 cases. In 20 cases out of them, the liver was involved in carcinoma, and the pattern of hepatic infiltration was classified into 3 types as follows: surrounding organs were also involved in 8 cases of the liver bed type. Seven cases of the hepatic hilar type had diffusely infiltrating carcinoma which involved the liver along the bile duct at the hepatic hilum. Remaining 5 cases of the combined type were extremely advanced carcinoma which involved the liver bed, hepatic hilum, surrounding organs and regional lymph nodes and showed a big mass.
Hepatectomies within 2 segments were perfomed in 5 cases and extended right hepatic lobectomy or right trisegmentectomy in 15 cases out of 20 hepatectomized cases. Hepatopancreatoduodenectomy was carried out in 8 cases. Two cases (8.3％) of operative death were experienced, however good surgical results such as 41％ of 3 year survival rate could be obtained after extended operation for advanced carcinoma of the gallbladder.

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