Case Series
 
Laparoscopic radical cholecystectomy for carcinoma gallbladder: A case series
Ashutosh Gupta1, Amit Choraria2, Shantanu Tiwar2, Hitesh Dubey2, Rajesh Kumar Agrawal2, Sourabh Nandi2, Vivek Chaudhary3
1Associate Professor, Department of Surgical Oncology, Regional Cancer Center, Pt JNM Medical College, Raipur, Chhattisgarh, India
2Senior Resident, Department of Surgical Oncology, Regional Cancer Center, Pt JNM Medical College, Raipur, Chhattisgarh, India
3Director, Department of Surgical Oncology, Regional Cancer Center, Pt JNM Medical College, Raipur, Chhattisgarh, India

Article ID: 100068IJHPDAG2017
doi: 10.5348/ijhpd-2017-68-CS-4

Address correspondence to:
Amit Choraria
Department of Surgical Oncology
Regional Cancer Center
Pt JNM Medical College, Raipur
Chhattisgarh, India

Access full text article on other devices

  Access PDF of article on other devices

[HTML Full Text]   [PDF Full Text] [Print This Article]
[Similar article in Pumed] [Similar article in Google Scholar]

How to cite this article:
Gupta A, Choraria A, Tiwari S, Dubey H, Agrawal RK, Nandi S, Chaudhary V. Laparoscopic radical cholecystectomy for carcinoma gallbladder: A case series. Int J Hepatobiliary Pancreat Dis 2017;7:18–22.


Abstract
Introduction: Nowadays laparoscopic surgery is a very common form of treatment strategy for digestive diseases and these ‘keyhole’ surgeries provide many benefits to the patients. However, controversy exists when the laparoscopic surgery is done for early gallbladder cancer. The aim of our study was to report two such cases to see feasibility and safety of laparoscopic radical cholecystectomy with lymph node dissection.
Case Series: Two patients underwent laparoscopic radical cholecystectomy with lymph node dissection for gallbladder carcinoma. Both patients were preoperatively diagnosed. Mean operative time was 172 minutes, and average estimated blood loss was 225 ml. There was no intraoperative complication. The liver dissection was done by Harmonic in one case and by Waterjet in the other case. Average hospital stay after surgery was four days. Postoperative morbidity included minimal bile leak in one patient only and no bile leak in patient operated with Waterjet system. Postoperative histopathology revealed adenocarcinoma of gallbladder with no lymph node invasion T2N0M0 (Stage II) in both patients. The mean lymph node retrieval was 5.5. Both patients received adjuvant chemotherapy with gemcitabine and carboplatin.
Conclusion: We conclude that laparoscopic radical cholecystectomy with lymph node dissection is safe and beneficial for the patients with T1b/T2 gallbladder carcinoma and is useful in selected patients with a preoperative suspicion of early-stage gallbladder cancer by sparing them the necessity of a second-stage open procedure.

Keywords: Cancer, Carcinoma gallbladder, Laparoscopic radical cholecystectomy, Lymph node dissection


[HTML Full Text]   [PDF Full Text]

Author Contributions
Ashutosh Gupta – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Amit Choraria – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Shantanu Tiwari – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Hitesh Dubey – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Rajesh Kumar Agrawal – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Sourabh Nandi – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Vivek Chaudhary – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Ashutosh Gupta et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.