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A Korean series suggesting that muscle-invading gallbladder tumours on the free side may not always need part of the liver removed, while those against the liver bed do.
Single-centre Korean series of 157 T2 gallbladder cancers resected with curative intent between 2000 and 2011: 33 peritoneal-side and 124 hepatic-side (epicentre in the gallbladder bed or neck); 122 had hepatic resection and 35 did not. After a median follow-up of 40 months, peritoneal-side tumours had better survival (p=0.002). Tumour location, lymph node metastasis, hepatic resection, lymphatic invasion and perineural invasion were independent prognostic factors. The authors recommend hepatic resection for hepatic-side tumours and suggest it is not always necessary for selected peritoneal-side tumours.
One of the series that raised the question of sparing the liver resection in T2a disease; only 33 peritoneal-side tumours, so it poses the question rather than settles it.
Shares A trial of sparing the liver resection in peritoneal-side (T2a) gallbladder cancer, T2a versus T2b gallbladder cancer (peritoneal side versus hepatic side), Radical (extended) cholecystectomy, Gallbladder cancer and the tag gallbladder-evidence.
Shares A trial of sparing the liver resection in peritoneal-side (T2a) gallbladder cancer, T2a versus T2b gallbladder cancer (peritoneal side versus hepatic side), Radical (extended) cholecystectomy, Gallbladder cancer and the tag gallbladder-evidence.
Shares A trial of sparing the liver resection in peritoneal-side (T2a) gallbladder cancer, T2a versus T2b gallbladder cancer (peritoneal side versus hepatic side), Gallbladder cancer and the tag gallbladder-evidence.
Shares Annals of surgical oncology, Radical (extended) cholecystectomy, Gallbladder cancer and the tag gallbladder-evidence.
Shares Annals of surgical oncology, T2a versus T2b gallbladder cancer (peritoneal side versus hepatic side), Gallbladder cancer and the tag gallbladder-evidence.
Shares Radical (extended) cholecystectomy, Gallbladder cancer and the tag gallbladder-evidence.
Shares Radical (extended) cholecystectomy, Gallbladder cancer and the tag gallbladder-evidence.
Shares T2a versus T2b gallbladder cancer (peritoneal side versus hepatic side), Gallbladder cancer and the tag gallbladder-evidence.