212087 Expanded radical resection for gallbladder cancer at different portions

/Duan Weihong

(段偉宏，Dept Hepat Surg，Gen Hosp 2nd Artillary Corps，Beijing 100088)…∥Chin J Gen Surg.-2011，17(11).-739～742

ObjectiveTo explore the value of expanded radical resection for gallbladder cancer located respectively at body and bottom of the gallbladder and at the neck.MethodsIn this study，91 cases of gallbladder cancer were macropathologically divided into two groups，one with the lesion at the body and bottom of the gallbladder and the other at the neck，survival analysis was made accordingly.Three different kinds of resection were performed:the expanded radical resection，the standard radical resection and palliative operation.ResultsThe overall median survival rate of patients underwent expanded radical operation was significantly higher than that of the cases underwent other two procedures，that was 27.1 ±2.4，10.7 ± 2.2，4.7 ± 2.2(months)respectively for body and bottom cancer，and 8.5 ±2.1，6.7 ±1.9，3.1 ±1.1(months)respectively for neck cancer.For cancer at the body and bottom RO was achieved by expanded radical resection in 16/18(88%)cases and by standard radical resection in 7/12(58%)cases，while for cancer at the neck it was in 6/16(38%)cases，and in 3/13(23%)cases only.ConclusionThe median survival time is longer and RO resection rate is higher in patients with the cancer at the body and bottom than those at the neck of the gallbladder.9 refs，5 figs，2 tabs.