Radical Operation for the Gallbladder Carcinoma on the View Points of the Tumor Spreading Mode

Kazuhiro Tsukada, Isao Kurosaki, Katsuyuki Uchida, Yoshio Shirai, Katsuyoshi Hatakeyama

First Department of Surgery, Niigata University School of Medicine

Results of the radical surgery in 102 patients with gallbladder carcinoma were reviewed. The patients were classified according to the T category of TNM staging of the American Joint Committee of Cancer Staging. The standard procedure was employed in 69 patients and the extended operation (major hepatectomy and/or pancreatoduodenectomy) was performed in 33 patients. One patient died within 30 days after the operation. The cumulative 5 year survival rates of T1 (N=15), T2 (N=44), T3 (N=24) and T4 (N=19) patients were 87.5%, 59.5%, 28.7% and 26.6%, respectively. The T category was useful in selecting the operative procedure. However, surgical results for advanced gallbladder carcinoma of T3 or T4 were poor. Multidisciplinary treatment should be used in such patients.

Key words
carcinoma of the gallbladder, T category, radical operation

Reprint requests
Kazuhiro Tsukada First Department of Surgery, Niigata University School of Medicine
1-754 Asahimachi-dori, Niigata City, 951 JAPAN

Accepted
July 6, 1994

To read the PDF file you will need Abobe Reader installed on your computer.