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Laparoscopic radical cholecystectomy with common bile duct resection for T2 gallbladder cancer
Ann Hepatobiliary Pancreat Surg 2019 Feb;23(1):69-73
Published online February 28, 2019;  https://doi.org/10.14701/ahbps.2019.23.1.69
Copyright © 2019 Korean Association of Hepato-Biliary-Pancreatic Surgery.

Jonathan Geograpo Navarro1 and Chang Moo Kang2

1Division of Surgical Oncology, Department of Surgery, Vicente Sotto Memorial Medical Center, Cebu City, Philippines, 2Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Yonsei University College of Medicine, 3Pancreatobiliary Cancer Center, Yonsei Cancer Center, Severance Hospital, Seoul, Korea
Received June 29, 2018; Revised August 7, 2018; Accepted August 18, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
The oncologic safety and feasibility of laparoscopic radical cholecystectomy for a preoperatively suspected gallbladder cancer is continually being challenged even in an era of minimally invasive surgery. A seventy-four-year-old woman was presented in the outpatient department with a history of fever, abdominal pain, and vomiting. CT scan showed an irregular wall thickening of the body to the cystic duct of the gallbladder and portocaval lymph node. In addition, EUS revealed no subserosal invasion of the tumor. PET scan showed an intense FDG uptake of in the gallbladder and in the portocaval lymph node. The laparoscopic radical cholecystectomy was performed with 6 trocars. The procedure included simple cholecystectomy, hepatoduodenal and aortocaval lymphadenectomy, and common bile duct resection. The hepaticojejunal anastomosis was constructed laparoscopically, while the jejunal continuity was established via an extracorporeal anastomosis. The patient was discharged on the 7th postoperative day with no complications and adjuvant chemotherapy was started on the 14th day after surgery. Based on our experienced, laparoscopic radical cholecystectomy with combined common bile duct resection is technically safe and feasible.
Keywords : Gallbladder cancer; Radical cholecystectomy; Common bile duct resection; Hepaticojejunostomy

 

February 2019, 23 (1)