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Gallbladder Cancer Specialist

Gallbladder Cancer Specialist team include Gallbladder Oncologist & Gallbladder Cancer surgeon, This team act as a unit to deal with Gallbladder Cancer, Gallbladder Cancer if resectable then surgery is done by Oncosurgeon and if not then Chemotherapy is given by Medical Oncologist, Incidence has increased in young population also

Gallbladder Cancer disease is common in North India, High incidence is seen in female sex, Most cases are diagnosed in advanced stage when the tumor is unresectable, CECT abdomen is done to stage the tumor, FNAC is not done if there is doubt for cancer as it may risk the seedling of cancer cells in the needle tract,  Gallbladder is situated on the inferior aspect of right lobe of liver adhered to it so it is removed along with the part of liver to which it is adhered and standard lyphadenectomy is done, this whole procedure is called as radical cholecystectomy; cystic duct margin is sent for frozen section intra-operatively and if it comes to be positive then common bile duct is also excised and then Roux-en-Y Hepatico-jejunostomy is performed, Extended right hepatectomy is done if tumor is located at the neck and involve right sided portal structures
Staging Laparoscopy is the first step ; Staging laparoscopy is done to look for metastatic deposits missed on CT scan; If metastatic deposits are seen on staging laparoscopy then biopsy is taken from the deposits and sent for frozen section and if these comes to be positive then surgical procedure is abandonedGallbladder cancer specialist