title: [Surgical treatment for gall bladder cancer with a confluence stone-a case report].
abstract: The patient was a 71-year-old man. In September 2011, he experienced abdominal pain with high fever. Abdominal computed tomography (CT) diagnosed acute cholecystitis with a confluence stone (corlette classification type II). He underwent total cholecystectomy and placement of a T-tube in the main bile duct through the gall bladder duct. However, pathological investigations revealed gall bladder cancer in the neck and body part of the gall bladder, leading to a diagnosis of gall bladder adenocarcinoma(Gbn, Flat type, tub2, INF β,pSS, pHinf0, pBinf1, pPV0, pA0, pT3) with a confluence stone. We suspected that the tumor was present in the common bile duct. Therefore, in October 2011, he underwent choledochectomy, resection of the liver bed, lymph node dissection, and choledocho-jejunostomy. Pathological findings revealed that the tumor was present in the common bile duct. He died 8 months after the last surgery because of recurrence of peritoneal metastasis.
authors.affiliation: Dept. of Surgery, Kobe Ekisaikai Hospital, Japan.
authors.forename: Hideo
authors.initials: H
authors.lastname: Ota
authors.forename: Minoru
authors.initials: M
authors.lastname: Ohtsuru
authors.forename: Takanori
authors.initials: T
authors.lastname: Komai
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Katayama
authors.forename: Tomohiko
authors.initials: T
authors.lastname: Machida
authors.forename: Takaaki
authors.initials: T
authors.lastname: Ishii
authors.forename: Kunihiko
authors.initials: K
authors.lastname: Hiraoka
authors.forename: Kouji
authors.initials: K
authors.lastname: Sinozaki
authors.forename: Yasuhito
authors.initials: Y
authors.lastname: Kawasaki
authors.forename: Yukio
authors.initials: Y
authors.lastname: Ikeda
authors.forename: Hidemine
authors.initials: H
authors.lastname: Senba
authors.forename: Seiji
authors.initials: S
authors.lastname: Yasuda
mesh_terms: D000368:Aged; D017809:Fatal Outcome; D005706:Gallbladder Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D042882:Gallstones / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male