Carcinoma Gallbladder — an overview

Abstract

Carcinoma gallbladder is the commonest malignancy of biliary tract, with very poor prognosis. Clinical signs usually appear late, in advance stages. Surgical resection is the only possible curative option, that can also help decrease morbidity. Categorized by Nevin’s staging, local infiltration and lymphatic spread are the bad prognostic indicators. Our’s is a 24 patients series in West Surgical Ward where we picked three cases incidentally on routine laparoscopic cholecystectomy, three diagnosed on FNAC and three on laparoscopic biopsy. Cholecystectomy was done in four cases and added with hepatic bed resection in two. Obstructive jaundice was palliated by T-tube stenting, hepaticogastrostomy, hepaticojejunostomy or therapeutic PTC. Longest survivor is over two years who underwent laparoscopic cholecystectomy followed by adjuvant chemotherapy in Nevin’s II stage.