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| Is laparoscopic radical cholecystectomy an effective and safe approach for advanced gallbladder cancer? |
| Li-Ming Jin a , b , Yu-Hua Zhang b , Cheng-Wu Zhang b , Wei-Ding Wu b , Jia Wu b , Chang-Wei Dou b , Fang-Qiang Wei b , Zhi-Fei Wang b , Zhi-Ming Hu b , Shu-Sen Zheng a , c , ∗ |
a Division of Hepatobiliary Pancreatic Surgery, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China
b Division of Hepatobiliary and Pancreatic Surgery, Zhejiang Provincial People’s Hospital, Affiliated People’s Hospital of Hangzhou Medical College, Hangzhou 310014, China
c Department of Hepatobiliary and Pancreatic Surgery, Department of Liver Transplantation, Shulan (Hangzhou) Hospital, Zhejiang Shuren University School of Medicine, Hangzhou 310022, China
∗ Corresponding author at: Division of Hepatobiliary Pancreatic Surgery, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China.
E-mail address: shusenzheng@zju.edu.cn (S.-S. Zheng). |
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Abstract Although laparoscopy has been widely used in the surgical field and is even considered the first-line to diagnose various diseases, laparoscopic radical cholecystectomy (LRC) for gallbladder cancer (GBC) has always been relatively contraindicated. Inadequate lymphadenectomy, complicated liver resection, specific biological behavior of GBC cells, and chimney and aerosol effects from the pneumoperitoneum are the previously misunderstood areas in laparoscopic surgery [1] . Initially, laparoscopic approach was used for intra-abdominal GBC exploration to determine the presence of peritoneal metastasis, intraoperative staging, and palliative treatment. With the advancement of laparoscopic surgery, laparoscopic liver resection, laparoscopic pancreaticoduodenectomy, and laparoscopic radical gastrectomy have been routinely performed in several medical centers. Kim et al. [2] recently demonstrated that laparoscopic technique is feasible for GBC. However, the feasibility of LRC depends on the following factors.
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2020, Vol. 19 
