Ho-Seong Han1, Yoo-Seok Yoon2, Anil K 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 Koreayoonys@snubh.org. 3. GB Pant Hospital, 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: Despite the increasing number of reports on the favorable outcomes of laparoscopic surgery for gallbladder cancer (GBC), there is no consensus regarding this surgical procedure. OBJECTIVE: The study aimed to develop a consensus statement on the application of laparoscopic surgery for GBC based on expert opinions. METHODS: A consensus meeting among experts was held on September 10, 2016, in Seoul, Korea. RESULTS: Early concerns regarding port site/peritoneal metastasis after laparoscopic surgery have been abated by improved preoperative recognition of GBC and careful manipulation to avoid bile spillage. There is no evidence that laparoscopic surgery is associated with decreased survival compared with open surgery in patients with early-stage GBC if definitive resection during/after laparoscopic cholecystectomy is performed. Although experience with laparoscopic extended cholecystectomy for GBC has been limited to a few experts, the postoperative and survival outcomes were similar between laparoscopic and open surgeries. Laparoscopic reoperation for postoperatively diagnosed GBC is technically challenging, but its feasibility has been demonstrated by a few experts. CONCLUSIONS: Laparoscopic surgery for GBC is still in the early phase of the adoption curve, and more evidence is required to assess this procedure.
BACKGROUND: Despite the increasing number of reports on the favorable outcomes of laparoscopic surgery for gallbladder cancer (GBC), there is no consensus regarding this surgical procedure. OBJECTIVE: The study aimed to develop a consensus statement on the application of laparoscopic surgery for GBC based on expert opinions. METHODS: A consensus meeting among experts was held on September 10, 2016, in Seoul, Korea. RESULTS: Early concerns regarding port site/peritoneal metastasis after laparoscopic surgery have been abated by improved preoperative recognition of GBC and careful manipulation to avoid bile spillage. There is no evidence that laparoscopic surgery is associated with decreased survival compared with open surgery in patients with early-stage GBC if definitive resection during/after laparoscopic cholecystectomy is performed. Although experience with laparoscopic extended cholecystectomy for GBC has been limited to a few experts, the postoperative and survival outcomes were similar between laparoscopic and open surgeries. Laparoscopic reoperation for postoperatively diagnosed GBC is technically challenging, but its feasibility has been demonstrated by a few experts. CONCLUSIONS: Laparoscopic surgery for GBC is still in the early phase of the adoption curve, and more evidence is required to assess this procedure.
Authors: Sidrah Khan; Rachel E Beard; Peter T Kingham; Yuman Fong; Thomas Boerner; John B Martinie; Dioneses Vrochides; Joseph F Buell; Eren Berber; Bora Kahramangil; Roberto I Troisi; Aude Vanlander; Michele Molinari; Allan Tsung Journal: Ann Surg Oncol Date: 2018-07-09 Impact factor: 5.344
Authors: Omid Salehi; Eduardo A Vega; Sebastian Mellado; Michael J Core; Mu Li; Olga Kozyreva; Onur C Kutlu; Richard Freeman; Claudius Conrad Journal: J Gastrointest Surg Date: 2022-04-08 Impact factor: 3.267