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Incidental Carcinoma Gallbladder

The most common symptom of Gallbladder Cancer is right upper abdomen pain with loss of appetite and weight loss, other symptoms include jaundice/vomiting; USG abdomen show irregular GB wall thickening/GB mass; Whenever there is doubt of Gallbladder Cancer on USG; don’t do FNAC; CECT abdomen is done which will give more idea about the mass/thickening, local and distant spread; MRCP is indicated in patients who present with jaundice; Upper GI Endoscopy is done when there is suspicious of involvement of duodenum.

Surgery is the preferred mode of treatment for Gallbladder Cancer if the patient is fit for surgery, role of chemo or radiotherapy is less; First Staging Laparoscopy is done and if no distant metastases are detected in staging laparoscopy then right subcostal incision is given, first inter aorto-caval lymph node sampling is done and if negative for malignancy then radical cholecystectomy with lymphadenectomy is performed in which segment IV B and V of liver is resected; Intra-op cystic duct margin is sent for frozen section if it is positive then CBD excision with Roux-en-Y Hepatico-jejunostomy is done.

Gall Bladder Stone

Laparoscopic cholecystectomy

Gallbladder Stone

Bile is produced in the liver and small amount of it get stored in the Gallbladder; Gallstone formation is common, there are many theories behind its formation but there are no preventive method; Most common symptom is Right upper abdomen pain, 20-30% patients have dyspeptic symptoms; when ultrasound is done for these symptoms Gallstones are detected, Sometimes ultrasound is done for other than these symptoms and patient may be diagnosed to have gall-stones, this condition is called asymptomatic Gallstones; Generally CECT Abdomen is not done but whenever there is doubt of Cancer Gallbladder on ultrasound it should be done

For symptomatic patients Surgery (Laparoscopic Cholecystectomy in which whole of the gallbladder is removed )     is preferred; It is a day care surgery in which patient is operated in morning and can be discharged in the evening and from next day onwards patient can do normal day to day activities

Because of Complications of Gallstones such as Jaundice/ Cholangitis/Pancreatitis/Cancer even in asymptomatic patients Surgery is preferred

Cancer Gallbladder

Radical Cholecystectomy

Carcinoma Gallbladder

The most common symptom of Gallbladder Cancer is right upper abdomen pain with loss of appetite and weight loss, other symptoms include jaundice/vomiting; USG abdomen show irregular GB wall thickening/GB mass; Whenever there is doubt of Gallbladder Cancer on USG; don’t do FNAC; CECT abdomen is done which will give more idea about the mass/thickening, local and distant spread; MRCP is indicated in patients who present with jaundice; Upper GI Endoscopy is done when there is suspicious of involvement of duodenum.

Surgery is the preferred mode of treatment for Gallbladder Cancer if the patient is fit for surgery, role of chemo or radiotherapy is less; First Staging Laparoscopy is done and if no distant metastases is detected in staging laparoscopy then right subcostal incision is given, first inter aorto-caval lymph node sampling is done and if negative for malignancy then radical cholecystectomy with lymphadenectomy is performed in which segment IV B and V of liver is resected; Intra-op cystic duct margin is sent for frozen section if it is positive then CBD exicision with Roux-en-Y Hepatico-jejunostomy is done.