Abstract | BACKGROUND: TECHNIQUE: With the patient in the French position, wide kocherization allowed for sampling of lymph node stations 13 (retropancreatic) and 16 (aortocaval). Thereafter, a portal lymphadenectomy of stations 12a, b, c and p was performed. A partial resection of segments 4b and 5, as well as sampling of the cystic duct stump, completed the procedure. CONCLUSION: Accurate prognostication is one of the major goals of oncologic re-resection of incidentally discovered gallbladder cancer. This can be achieved via a systematic and complete dissection of portal, aortocaval and retropancreatic lymph node stations. Targeting of stations 16 and 13 requires wide kocherization, and complete portal lymphadenectomy of stations 12a, c, p, and b necessitates safe, minimally invasive dissection of the hepatoduodenal ligament.
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Authors | Eduardo A Vega, Suguru Yamashita, Yun Shin Chun, Michael Kim, Jason B Fleming, Matthew H Katz, Ching-Wei Tzeng, Kanwal P Raghav, Jean-Nicolas Vauthey, Jeffrey E Lee, Claudius Conrad |
Journal | Annals of surgical oncology
(Ann Surg Oncol)
Vol. 24
Issue 7
Pg. 1852
(Jul 2017)
ISSN: 1534-4681 [Electronic] United States |
PMID | 28168387
(Publication Type: Case Reports, Journal Article)
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Topics |
- Disease Management
- Gallbladder Neoplasms
(pathology, surgery)
- Humans
- Laparoscopy
(methods)
- Lymph Node Excision
- Male
- Middle Aged
- Prognosis
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