Yoo-Seok Yoon1, Ho-Seong Han2, Anil Agarwal3, Giulio Belli4, Osamu Itano5, Andrew A Gumbs6, Dong Sup Yoon7, Chang Moo Kang7, Seung Eun Lee8, Toshifumi Wakai9, Roberto I Troisi10. 1. Seoul National University Bundang Hospital, Seongnam, Republic of Korea. 2. Seoul National University Bundang Hospital, Seongnam, Republic of Koreahanhs@snubh.org. 3. GB Pant Hospital and Maulana Azad Medical College, Delhi University, New Delhi, India. 4. S.M. Loreto Nuovo Hospital, Naples, Italy. 5. International University of Health and Welfare School of Medicine, Chiba, Japan. 6. Summit Medical Group-MD Anderson Cancer Center, Florham Park, New Jersey, USA. 7. Yonsei University College of Medicine, Seoul, Republic of Korea. 8. Chung-Ang University College of Medicine, Seoul, Republic of Korea. 9. Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan. 10. Ghent University Hospital and Medical School, Ghent, Belgium.
Abstract
BACKGROUND: Favorable outcomes of laparoscopic surgery for gallbladder cancer (GBC) have been reported; yet consensus on the indications and surgical techniques for laparoscopic surgery for GBC is lacking. OBJECTIVE: To evaluate the current status of laparoscopic surgery for GBC by analyzing the results of a survey of experts and by reviewing the relevant published literature. METHODS: Before an expert meeting was held on September 10, 2016 in Seoul, Korea, an international survey was undertaken of expert surgeons in the field of GBC surgery. RESULTS: The majority of surgeons who responded agreed that laparoscopic surgery has an acceptable role for suspicious or early GBC, and that laparoscopic extended cholecystectomy has a value comparable to that of open surgery in selected patients with GBC. However, the selection criteria for laparoscopic surgery for overt GBC and the details of the surgical techniques varied among surgeons. CONCLUSIONS: This survey and literature review revealed that laparoscopic surgery for GBC is performed in highly selected cases. However, the favorable outcomes in the published reports and the positive view of experienced surgeons for this operative procedure suggest a high likelihood that laparoscopic surgery will be more frequently performed for GBC in the future.
BACKGROUND: Favorable outcomes of laparoscopic surgery for gallbladder cancer (GBC) have been reported; yet consensus on the indications and surgical techniques for laparoscopic surgery for GBC is lacking. OBJECTIVE: To evaluate the current status of laparoscopic surgery for GBC by analyzing the results of a survey of experts and by reviewing the relevant published literature. METHODS: Before an expert meeting was held on September 10, 2016 in Seoul, Korea, an international survey was undertaken of expert surgeons in the field of GBC surgery. RESULTS: The majority of surgeons who responded agreed that laparoscopic surgery has an acceptable role for suspicious or early GBC, and that laparoscopic extended cholecystectomy has a value comparable to that of open surgery in selected patients with GBC. However, the selection criteria for laparoscopic surgery for overt GBC and the details of the surgical techniques varied among surgeons. CONCLUSIONS: This survey and literature review revealed that laparoscopic surgery for GBC is performed in highly selected cases. However, the favorable outcomes in the published reports and the positive view of experienced surgeons for this operative procedure suggest a high likelihood that laparoscopic surgery will be more frequently performed for GBC in the future.
Authors: Ken Min Chin; Darren W Q Chua; Ser Yee Lee; Chung Yip Chan; Brian K P Goh Journal: J Minim Access Surg Date: 2021 Jan-Mar Impact factor: 1.407