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The Prognosis for Unexpected Gallbladder Carcinoma with Bile Spillage during Laparoscopic Cholecystectomy
https://showa.repo.nii.ac.jp/records/3356
https://showa.repo.nii.ac.jp/records/3356e44a7ff2-d581-49c5-95f6-beb8f0b69bb9
名前 / ファイル | ライセンス | アクション |
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S31_323.pdf (52.5 kB)
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Item type | 学内発行雑誌 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2020-06-01 | |||||
タイトル | ||||||
タイトル | The Prognosis for Unexpected Gallbladder Carcinoma with Bile Spillage during Laparoscopic Cholecystectomy | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ | departmental bulletin paper | |||||
著者 |
KOIZUMI, Tomotake
× KOIZUMI, Tomotake× AOKI, Takeshi× ENAMI, Yuta× FUJIMORI, Akira× KUSANO, Tomokazu× MATSUDA, Kazuhiro× YAMADA, Kosuke× NOGAKI, Koji× TASHIRO, Yoshihiko× MURAKAMI, Masahiko |
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書誌情報 |
The Showa University journal of medical sciences 巻 31, 号 4, p. 323-328, 発行日 2019-12 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Here we review the prognosis of patients with unsuspected gallbladder carcinoma(GBC), detected after laparoscopic cholecystectomy(LC)in a single institute. We reviewed the medical records of patients diagnosed with gallbladder stones on admission, who underwent LC. Carcinoma involving the gallbladder was found in 22 of 2,770 patients(0.9%)via postoperative pathological examination. This GBC group spanned 58-87 years of age(mean, 75 years; 13 females and 9 males). The preoperative diagnosis was gallbladder stones with acute/chronic cholecystitis or adenomyomatosis of the gallbladder in all patients. We performed an additional surgery in 6 of 15 patients with pT2 and T3 disease; of these, 3 patients with pT2 disease and 1 with pT3 experienced bile spillage during the LC. The mean survival of patients with unexpected GBC was 21 months, with bile spillage occurring as a complication of LC identified as a potential risk factor for shorter survival(15.3 vs. 32.5 months). We identified patients with pT2 and pT3 disease after LC, and two patients with pT2 and 1 with pT3 who had bile spillage during LC died of peritoneal dissemination within 28 months, despite additional surgery. Occasional seeding caused by bile spillage during LC should be carefully avoided to minimize the risk of developing unsuspected GBC after LC. | |||||
DOI | ||||||
関連識別子 | 10.15369/sujms.31.323 | |||||
出版者 | ||||||
出版者 | Showa University Society | |||||
ISSN | ||||||
収録物識別子 | 0915-6380 | |||||
著者版フラグ | ||||||
出版タイプ | VoR |