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. If it is not resectable then chemotherapy is given by Medical Oncologist.Incidence has increased in young population also
More common in North India. High incidence is seen in female sex. Most common complain is pain in right upper abdomen. Anorexia and weight loss which are symptoms of any cancer are present. Most cases are diagnosed in advanced stage when the tumor is unresectable. Early diagnosis and treatment is key for the good survival rate as in any cancer
USG abdomen can show mass or focal thickening in the gallbladder. CECT abdomen is done to stage the tumor. FNAC is not done as it may risk the seedling of cancer cells in the needle tract. PET scan is done selectively
Treatment of Gallbladder Cancer
Gallbladder is situated on the inferior aspect of right lobe of liver adhered to it. Gallbladder is removed along with this part of liver to which it is adhered. Standard lyphadenectomy along with resection 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.
Role of staging laparoscopy
Staging Laparoscopy is the first step. It 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 abandoned
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