Laparoscopic whole layer cholecystectomy for early gallbladder carcinoma

DOI
  • Honda Goro
    Department of Surgery, Tokyo Metropolitan Cancer and Infectious diseases Center, Komagome Hospital
  • Kurata Masanao
    Department of Surgery, Tokyo Metropolitan Cancer and Infectious diseases Center, Komagome Hospital
  • Okuda Yukihiro
    Department of Surgery, Tokyo Metropolitan Cancer and Infectious diseases Center, Komagome Hospital
  • Kobayashi Shin
    Department of Surgery, Tokyo Metropolitan Cancer and Infectious diseases Center, Komagome Hospital
  • Sakamoto Katsunori
    Department of Surgery, Tokyo Metropolitan Cancer and Infectious diseases Center, Komagome Hospital
  • Horiguchi Shin-ichiro
    Department of Pathology, Tokyo Metropolitan Cancer and Infectious diseases Center, Komagome Hospital
  • Kamisawa Terumi
    Department of Internal Medicine, Tokyo Metropolitan Cancer and Infectious diseases Center, Komagome Hospital

Bibliographic Information

Other Title
  • 早期胆嚢癌に対する腹腔鏡下胆嚢全層切除のコツとその剥離層の組織学的検討

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Description

For early stage or highly suspected malignant lesion of the gallbladder, surgical resection via the open approach is recommended, because the dissection plane on the liver side is within the subserosal layer in conventional laparoscopic cholecystectomy. However, we confirmed histologically that the subserosal layer could be dissected completely enveloped by a fibrous membrane by dissection, leaving Laennec's capsule in the liver bed. Then, we performed whole layer cholecystectomy with regional lymph-node dissection via a laparoscopic approach, which had been standardized by resolving some unsafe aspects, in 7 patients and achieved good results. Our standardized procedure can be performed without bleeding from the liver bed and enveloping the subserosal layer by membranous tissue. It has the potential to become the standard procedure for early stage or highly suspected malignant lesion of the gallbladder.

Journal

  • Tando

    Tando 27 (4), 705-711, 2013

    Japan Biliary Association

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