Erschienen in:
20.11.2017 | Hepatobiliary Tumors
Port-Site Resection in Surgical Management of Incidental Gallbladder Cancer: A Still Unresolved Question
verfasst von:
Quanda Liu, MD, Naixin Wu, MD, Ningxin Zhou, MD
Erschienen in:
Annals of Surgical Oncology
|
Sonderheft 3/2017
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Excerpt
We read with great interest the article by Dr. Maker et al.,
1 in which patients undergoing definitive resection for incidental gallbladder carcinoma (GBCA) after laparoscopic cholecystectomy (LC) were divided into two groups: laparoscopic port site resected (group 1,
n = 69) and laparoscopic port site not resected (group 2,
n = 44). The authors reported that the incidence of port-site metastases (PSMs) was as high as 19%, and median survival of patients with T2/T3 tumors without PSMs was 42 months compared with 17 months in patients with PSMs (
P = 0.005), while excision of port sites did not affect overall survival or disease recurrence, so that port-site resection should not be considered mandatory during definitive surgical treatment of incidental GBCA. …