title: Reconsideration of laparoscopic cholecystectomy.
abstract: We describe the surgical method of cases showing a distended gallbladder. Because the most important thing does not cause biliary tract injury, it is to find orientation carefully. The frequency of incidental gallbladder cancer was in 7 (0.7%) of the 983. Only cholecystectomy is necessary to be performed for Tis or T1 cancer, and surgery has to be changed to radical surgery for T2 cancer or deeper invasion. Laparoscopic cholecystectomy is already an established standard operation. In the presence of acute or severe chronic inflammation, special attention should be paid to these points.
authors.affiliation: Department of Surgery, Tokyo Medical University, 6-7-1 Nishishinjuku Shinjuku-ku, Tokyo 160-0023, Japan.
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Kasuya
authors.forename: Takao
authors.initials: T
authors.lastname: Itoi
authors.forename: Takaaki
authors.initials: T
authors.lastname: Matsudo
authors.forename: Bunsoh
authors.initials: B
authors.lastname: Kyo
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Endo
authors.forename: Takahisa
authors.initials: T
authors.lastname: Ikeda
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Nagakawa
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Suzuki
authors.forename: Motohide
authors.initials: M
authors.lastname: Shimazu
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Aoki
authors.forename: Akihiko
authors.initials: A
authors.lastname: Tsuchida
references.citation: Surg Endosc. 2002 Jan;16(1):197-200
references.pmid: 11961639
references.citation: Am J Surg. 1993 Apr;165(4):533-5
references.pmid: 8480897