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Gallbladder cancer: A global perspective
Author(s) -
Kapoor V.K.
Publication year - 2006
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.20525
Subject(s) - medicine , gallbladder cancer , gallstones , cholecystectomy , gallbladder , laparotomy , general surgery , gallbladder disease , malignancy , cancer , disease , surgery
Gallbladder cancer, the commonest malignancy of the biliary tract worldwide, is common in northern India. It can be clinically obvious, an unexpected finding at laparotomy, detected incidentally on histological examination or may be missed only to present with recurrence during follow up. US, CECT, uppeer gastro‐intestinal endoscopy, and laparoscopy are useful for diagnosis and staging. We have adopted a ‘middle path’—between pessimistic nihilism of the West and aggressive radicalism of Japan—of management, i.e., extended cholecystectomy for early disease confined to the gallbladder and hepato‐dudodenal ligament, and non‐surgical palliation for advanced disease. The aetiological role of gallstones in the causation of gallbladder cancer needs to be investigated to decide the place of prophylactic cholecystectomy, if any. J. Surg. Oncol. 2006;93:607–609. © 2006 Wiley‐Liss, Inc.