[Laparoscopic cholecystectomy for porcelain gallbladder].
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.
Puia
I C
IC
Universitatea de Medicină şi Farmacie Iuliu Haţieganu, Cluj-Napoca, România.
Vlad
L
L
Iancu
C
C
Al-Hajjar
N
N
Pop
F
F
Bălă
O
O
Munteanu
D
D
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