title: [Laparoscopic cholecystectomy for porcelain gallbladder].
abstract: The porcelain gallbladder is uncommon type of chronically inflamed gallbladder wall considered to be associated with a high frequency of adenocarcinoma and subsequently not suitable for a laparoscopic approach. In 12,000 patients chosen for a laparoscopic cholecystectomy 4 porcelain gallbladders were diagnosed. In 2 cases the laparoscopic approach was successful. One conversion was due to an unconfirmed suspicion of gallbladder cancer and the other one to a fistula between the gallbladder and the common bile duct. Patients with a preoperative diagnosis of porcelain gallbladder must not be excluded from the laparoscopic approach yet a low threshold for conversion must be maintained in those with a cancer suspicion.
authors.affiliation: Universitatea de Medicină şi Farmacie Iuliu Haţieganu, Cluj-Napoca, România.
authors.forename: I C
authors.initials: IC
authors.lastname: Puia
authors.forename: L
authors.initials: L
authors.lastname: Vlad
authors.forename: C
authors.initials: C
authors.lastname: Iancu
authors.forename: N
authors.initials: N
authors.lastname: Al-Hajjar
authors.forename: F
authors.initials: F
authors.lastname: Pop
authors.forename: O
authors.initials: O
authors.lastname: Bălă
authors.forename: D
authors.initials: D
authors.lastname: Munteanu
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D000368:Aged; D002114:Calcinosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D017081:Cholecystectomy, Laparoscopic; D005705:Gallbladder Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005706:Gallbladder Neoplasms / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome