[Gallbladder cancer in a regional hospital].
OBJECTIVE
To assess the management of gallbladder cancer (GBC) in our region.


METHODS
Data on 372 patients who underwent cholecystectomy were identified from our database (January 2003 to February 2008) and 6 patients were found to have GBC.


RESULTS
Four patients had incidental carcinoma, one case was preoperatively suspected, and one patient presented with jaundice and locally advanced neoplasia. The incidence was 2 per 100,000 inhabitants per year; incidental carcinoma in 1.1% of cholecystecomies. The ultrasonography showed multilithiasis in 2 patients, sludge and neoplasia in 1, gallstones more than 3cm in 2, and tumor mass only in 1 case. T stage: 1 case of T0 (in situ), 1 of T1, 2 of T2 and one T4. Incidental carcinomas were reoperated on when a T2 was established: 2 underwent lymphadenectomy and cystic stump resection, 1 segmentectomy IVb-V and lymphadenectomy. In the preoperative suspected neoplasia a cholecystectomy, lymphadenectomy, and partial hepatic gallbladder bed resection was initially performed.


CONCLUSIONS
GBC has a low incidence but it will be found in 1% of cholecystectomies. There is no adjuvant treatment and T-based surgical treatment is the is the only opportunity to reach cure in those patients. A national GBC database would be helpful in the publication of national guidelines for this disease.
Morera Ocón
Francisco José
FJ
Hospital de Requena, Valencia, España. fmoreraocon@aecirujanos.es
Ballestín Vicente
Javier
J
Ripoll Orts
Francisco
F
Landete Molina
Francisco
F
García-Granero Ximénez
Mario
M
Millán Tarín
José
J
Tursi Rispoldi
Leonardo de
Ld
Bernal Sprekelsen
Juan Carlos
JC
D000368:Aged; D002763:Cholecystectomy; D005260:Female; D005706:Gallbladder Neoplasms / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery; D006761:Hospitals; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013030:Spain