Tag Archives: Radical Cholecystectomy

PUBLISHED: Open Radical Cholecystectomy with Partial Hepatectomy for Gallbladder Cancer

Open Radical Cholecystectomy with Partial Hepatectomy for Gallbladder Cancer
Shoichi Irie, MDMamiko Miyashita, MDYu Takahashi, MDHiromichi Ito, MD
Cancer Institute Hospital of JFCR, Tokyo

Gallbladder cancer (GBCA) is a relatively uncommon disease with dismal prognosis. As the symptoms associated with GBCA are vague and non-specific, most patients present when the disease is at an advanced stage and the majority are diagnosed when the disease is beyond the possibility of resection. On the other hand, GBCA can be discovered incidentally and appropriate oncologic surgery provides a great chance of cure for patients with GBCA. We present a case of incidentally-diagnosed GBCA and describe the surgical management for operable GBCA with a focus on the operative technique and perioperative management. A 60-year-old male presented with incidentally-discovered GBCA during a follow-up imaging study for his previously treated bladder cancer. The patient had been asymptomatic, and CT showed a growing mass in the gallbladder without evidence of metastatic disease. GBCA was suspected, and resection was recommended. He underwent extended cholecystectomy including cholecystectomy en bloc with partial hepatectomy at segment IVb and 5 and portal lymphadenectomy. His postoperative course was uneventful, and histologic examination confirmed the diagnosis of GBCA, pT3N1M0, stage IIIB.

PREPRINT RELEASE: Open Radical Cholecystectomy with Partial Hepatectomy for Gallbladder Cancer


Open Radical Cholecystectomy with Partial Hepatectomy for Gallbladder Cancer
Cancer Institute Hospital

Hiromichi Ito, MD
Gastrointestinal Cancer Center
Division of Hepatobiliary and Pancreatic Surgery
Japanese Foundation for Cancer Research

In this case, a 60-year-old male was found to have a gallbladder mass on routine imaging 1.5 years after undergoing a radical cystectomy with ileal conduit and neoadjuvant chemotherapy for bladder cancer. Here, Dr. Hiromichi Ito at the Cancer Institute Hospital in Japan performs a radical cholecystectomy with removal of the gallbladder and liver bed, and lymphadenectomy around the porta hepatis.