Cáncer de la vesícula biliar: Manejo de pacientes con invasión de la túnica muscular

Background: Gallbladder cancer is the leading cause of death of cancer among women in Chile. Detection of early forms of the disease during the pathological study of the cholecystectomy specimen is common. The management of these cases, specially those with invasion of the muscular layer is under di...

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Autores principales:	de Aretxabala U,Xabier, Roa E,Iván, Mora P,Javier, Pincheira S,Oscar, Burgos SJ,Luis, Silva A,Jorge, Roa S,Juan Carlos
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2004
Materias:	Cholecystectomy Gallbladder diseases Gallbladder neoplasms
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000200007
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spelling	oai:scielo:S0034-988720040002000072005-11-23Cáncer de la vesícula biliar: Manejo de pacientes con invasión de la túnica muscularde Aretxabala U,XabierRoa E,IvánMora P,JavierPincheira S,OscarBurgos SJ,LuisSilva A,JorgeRoa S,Juan Carlos Cholecystectomy Gallbladder diseases Gallbladder neoplasms Background: Gallbladder cancer is the leading cause of death of cancer among women in Chile. Detection of early forms of the disease during the pathological study of the cholecystectomy specimen is common. The management of these cases, specially those with invasion of the muscular layer is under discussion. Aim: To analyze the clinical features of patients with gallbladder cancer and muscular layer invasion and their prognosis after a simple cholecystectomy. Patients and methods: We studied a series of 46 patients with gallbladder cancer and invasion of the muscular layer. In the majority of cases diagnosis was performed at the moment of specimen study. Eleven patients underwent reoperation. Of these, ten underwent lymphadenectomy and liver resection while one patient underwent resection of the cystic duct stump. Results: During follow up, five patients died as a consequence of gallbladder cancer. Overall survival was 78%, with no differences between patients subjected or not a new operation. Conclusions: Gallbladder cancer with muscular infiltration has a good prognosis, independent of the type of therapy (Rev Méd Chile 2004; 132: 183-8)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.132 n.2 20042004-02-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000200007es10.4067/S0034-98872004000200007
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Cholecystectomy Gallbladder diseases Gallbladder neoplasms
spellingShingle	Cholecystectomy Gallbladder diseases Gallbladder neoplasms de Aretxabala U,Xabier Roa E,Iván Mora P,Javier Pincheira S,Oscar Burgos SJ,Luis Silva A,Jorge Roa S,Juan Carlos Cáncer de la vesícula biliar: Manejo de pacientes con invasión de la túnica muscular
description	Background: Gallbladder cancer is the leading cause of death of cancer among women in Chile. Detection of early forms of the disease during the pathological study of the cholecystectomy specimen is common. The management of these cases, specially those with invasion of the muscular layer is under discussion. Aim: To analyze the clinical features of patients with gallbladder cancer and muscular layer invasion and their prognosis after a simple cholecystectomy. Patients and methods: We studied a series of 46 patients with gallbladder cancer and invasion of the muscular layer. In the majority of cases diagnosis was performed at the moment of specimen study. Eleven patients underwent reoperation. Of these, ten underwent lymphadenectomy and liver resection while one patient underwent resection of the cystic duct stump. Results: During follow up, five patients died as a consequence of gallbladder cancer. Overall survival was 78%, with no differences between patients subjected or not a new operation. Conclusions: Gallbladder cancer with muscular infiltration has a good prognosis, independent of the type of therapy (Rev Méd Chile 2004; 132: 183-8)
author	de Aretxabala U,Xabier Roa E,Iván Mora P,Javier Pincheira S,Oscar Burgos SJ,Luis Silva A,Jorge Roa S,Juan Carlos
author_facet	de Aretxabala U,Xabier Roa E,Iván Mora P,Javier Pincheira S,Oscar Burgos SJ,Luis Silva A,Jorge Roa S,Juan Carlos
author_sort	de Aretxabala U,Xabier
title	Cáncer de la vesícula biliar: Manejo de pacientes con invasión de la túnica muscular
title_short	Cáncer de la vesícula biliar: Manejo de pacientes con invasión de la túnica muscular
title_full	Cáncer de la vesícula biliar: Manejo de pacientes con invasión de la túnica muscular
title_fullStr	Cáncer de la vesícula biliar: Manejo de pacientes con invasión de la túnica muscular
title_full_unstemmed	Cáncer de la vesícula biliar: Manejo de pacientes con invasión de la túnica muscular
title_sort	cáncer de la vesícula biliar: manejo de pacientes con invasión de la túnica muscular
publisher	Sociedad Médica de Santiago
publishDate	2004
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000200007
work_keys_str_mv	AT dearetxabalauxabier cancerdelavesiculabiliarmanejodepacientesconinvasiondelatunicamuscular AT roaeivan cancerdelavesiculabiliarmanejodepacientesconinvasiondelatunicamuscular AT morapjavier cancerdelavesiculabiliarmanejodepacientesconinvasiondelatunicamuscular AT pincheirasoscar cancerdelavesiculabiliarmanejodepacientesconinvasiondelatunicamuscular AT burgossjluis cancerdelavesiculabiliarmanejodepacientesconinvasiondelatunicamuscular AT silvaajorge cancerdelavesiculabiliarmanejodepacientesconinvasiondelatunicamuscular AT roasjuancarlos cancerdelavesiculabiliarmanejodepacientesconinvasiondelatunicamuscular
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Cáncer de la vesícula biliar: Manejo de pacientes con invasión de la túnica muscular

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