Gallbladder cancer
Gall-bladder cancer is general/y considered an incurabledisease. lt has been possible to obtain better resultslate/y by means of the knowledge of the evo/ution of thedisease and the determina/ion of subgroups of morefavourable prognosis. The aim of this paper is to try todetermine the factors that i...
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| Other Authors: | , , , , , , , , |
| Format: | article |
| Language: | Spanish |
| Published: |
1995
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| Subjects: | |
| Online Access: | https://revista.scu.org.uy/index.php/cir_urug/article/view/4192 |
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| Summary: | Gall-bladder cancer is general/y considered an incurabledisease. lt has been possible to obtain better resultslate/y by means of the knowledge of the evo/ution of thedisease and the determina/ion of subgroups of morefavourable prognosis. The aim of this paper is to try todetermine the factors that inf/uence long-term survival bymaking a retrospective analysis of patients operated onfar ga/1-bladder cancer during 1 O years in a GeneralSurgery Service. The 1987 TNM classification system ofthe lnternational Union against Cancer was employed.Ga/1-bladder cancer corresponded to 3% of 1500cholecystectomies; average age was 59. lncidence ofga/1-bladder cancer in cholecystectomy pieces rose withage: average age far stage I was 58 years, 62 years farstage JI, 64 years far stage /JI and 70 years far stage IV.The fo/lowing procedures were carried out: 26 simplecholecystectomies, 6 radical cholecystectomies (medialhepatectomy and dissection of hepatic pedicle,retroduodenopanchreatic and celiac artery), 3cholecystostomies, 2 transtumoral intubations and 9explorative laparotomies. There was 8% global morbilityand 11 % mortality These figures rose to 30% and 0% farradical surgery. The survival far patients who underwentradical surgery was of 100% and 80% at 2 and 3 yearsrespective/y There were no data on cholecystectomyfollow-ups. The authors conclude that there is not anhomogeneous prognosis in the case of ga/1-bladdercancer patients. Tumors in early stages, with a highdegree of differentiation which -are general/y diagnosedin patients under 60 benefit from radical surgery andobtain satisfactory long-term survival rates. |
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