Carcinoma Gall bladder - Our Experience
Keywords:Carcinoma gallbladder, extended cholecystectomy, stenting of CBD.
AbstractCarcinoma gallbladder is highly lethal disease and most common malignant lesion of biliary tract which continuously gives rise to diagnostic and therapeutic challenges. A prospective study of 18 cases of carcinoma gallbladder admitted in North Surgical Unit of Mayo Hospital, Lahore in two years (1997-98) is presented. The majority of the patients were females in 5th and 6th decade of life and admitted through OTD (73%) and (27%) through emergency. Preoperative suspicion of carcinoma was made in 83% of cases. Most of the cases presented in Stage W and V. Eighty three percent of the patients had gall stones. Various operative procedures performed re cholecystectomy (2) extended cholecystectomy (6), open biopsy of the tumour only (4), biopsy and stenting of CBD (2), biopsy and hepaticogastrostomy (2), fine needle aspiration cytology only (2). The mean hospital stay was 9 days. The operative mortality was 5.5% in this series.
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