Aspectos quirúrgicos del cáncer de vesícula biliar
There is controversy in some aspects of the surgical treatment of non-mucosal gallbladder carcinoma. An accurate staging based on T (wall) involvement is crucial, otherwise understanding may yield falsely pessimistic results. The decision about the type of resection to be performed should be based o...
Guardado en:
| Autores principales: | , , , , , |
|---|---|
| Lenguaje: | Spanish / Castilian |
| Publicado: |
Sociedad Médica de Santiago
2005
|
| Materias: | |
| Acceso en línea: | http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000600016 |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| id |
oai:scielo:S0034-98872005000600016 |
|---|---|
| record_format |
dspace |
| spelling |
oai:scielo:S0034-988720050006000162005-08-26Aspectos quirúrgicos del cáncer de vesícula biliarMaluenda G,FernandoDíaz J,Juan CAretxabala U,Xabier deBurdiles P,PatricioCsendes J,AttilaContreras M,Luis Cholelithiasis Gallbladder neoplasms Neoplasm staging There is controversy in some aspects of the surgical treatment of non-mucosal gallbladder carcinoma. An accurate staging based on T (wall) involvement is crucial, otherwise understanding may yield falsely pessimistic results. The decision about the type of resection to be performed should be based on patient status (age, performance, comorbidities, etc) and tumor characteristics (histological type, vascular, neural or lymphatic spread, cell differentiation, tumor involvement of surgical margins in cystic duct, etc). For muscular (T1b) involvement, there is a great controversy about performing a simple cholecystectomy or en-block radical resection. For T2 there is consensus that an en-block radical surgery including liver resection (IVb - V) and lymphonodal clearance should be performed, since this approach has a great impact in survival. The role of surgical excision for tumors with serosal or liver involvement is controversial, due to the poor survival of these patients. However we have observed a 13% actuarial survival at 5 years, in this subset of patientsinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.133 n.6 20052005-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000600016es10.4067/S0034-98872005000600016 |
| institution |
Scielo Chile |
| collection |
Scielo Chile |
| language |
Spanish / Castilian |
| topic |
Cholelithiasis Gallbladder neoplasms Neoplasm staging |
| spellingShingle |
Cholelithiasis Gallbladder neoplasms Neoplasm staging Maluenda G,Fernando Díaz J,Juan C Aretxabala U,Xabier de Burdiles P,Patricio Csendes J,Attila Contreras M,Luis Aspectos quirúrgicos del cáncer de vesícula biliar |
| description |
There is controversy in some aspects of the surgical treatment of non-mucosal gallbladder carcinoma. An accurate staging based on T (wall) involvement is crucial, otherwise understanding may yield falsely pessimistic results. The decision about the type of resection to be performed should be based on patient status (age, performance, comorbidities, etc) and tumor characteristics (histological type, vascular, neural or lymphatic spread, cell differentiation, tumor involvement of surgical margins in cystic duct, etc). For muscular (T1b) involvement, there is a great controversy about performing a simple cholecystectomy or en-block radical resection. For T2 there is consensus that an en-block radical surgery including liver resection (IVb - V) and lymphonodal clearance should be performed, since this approach has a great impact in survival. The role of surgical excision for tumors with serosal or liver involvement is controversial, due to the poor survival of these patients. However we have observed a 13% actuarial survival at 5 years, in this subset of patients |
| author |
Maluenda G,Fernando Díaz J,Juan C Aretxabala U,Xabier de Burdiles P,Patricio Csendes J,Attila Contreras M,Luis |
| author_facet |
Maluenda G,Fernando Díaz J,Juan C Aretxabala U,Xabier de Burdiles P,Patricio Csendes J,Attila Contreras M,Luis |
| author_sort |
Maluenda G,Fernando |
| title |
Aspectos quirúrgicos del cáncer de vesícula biliar |
| title_short |
Aspectos quirúrgicos del cáncer de vesícula biliar |
| title_full |
Aspectos quirúrgicos del cáncer de vesícula biliar |
| title_fullStr |
Aspectos quirúrgicos del cáncer de vesícula biliar |
| title_full_unstemmed |
Aspectos quirúrgicos del cáncer de vesícula biliar |
| title_sort |
aspectos quirúrgicos del cáncer de vesícula biliar |
| publisher |
Sociedad Médica de Santiago |
| publishDate |
2005 |
| url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000600016 |
| work_keys_str_mv |
AT maluendagfernando aspectosquirurgicosdelcancerdevesiculabiliar AT diazjjuanc aspectosquirurgicosdelcancerdevesiculabiliar AT aretxabalauxabierde aspectosquirurgicosdelcancerdevesiculabiliar AT burdilesppatricio aspectosquirurgicosdelcancerdevesiculabiliar AT csendesjattila aspectosquirurgicosdelcancerdevesiculabiliar AT contrerasmluis aspectosquirurgicosdelcancerdevesiculabiliar |
| _version_ |
1718436211545079808 |