Copyright
©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Aug 27, 2016; 8(8): 541-544
Published online Aug 27, 2016. doi: 10.4240/wjgs.v8.i8.541
Published online Aug 27, 2016. doi: 10.4240/wjgs.v8.i8.541
Unexpected gallbladder cancer: Surgical strategies and prognostic factors
Gennaro Clemente, Department of Surgical Sciences, Hepatobiliary Unit, “A. Gemelli” Medical School, 00168 Rome, Italy
Author contributions: Clemente G contributed all to this paper.
Conflict-of-interest statement: Clemente G declares no conflict of interest related to this publication.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Gennaro Clemente, MD, Department of Surgical Sciences, Hepatobiliary Unit, “A. Gemelli” Medical School, Largo Gemelli 8, 00168 Rome, Italy. gennaro.clemente@unicatt.it
Telephone: +39-6-30157251 Fax: +39-6-3010908
Received: March 19, 2016
Peer-review started: March 22, 2016
First decision: April 11, 2016
Revised: May 7, 2016
Accepted: June 14, 2016
Article in press: June 16, 2016
Published online: August 27, 2016
Peer-review started: March 22, 2016
First decision: April 11, 2016
Revised: May 7, 2016
Accepted: June 14, 2016
Article in press: June 16, 2016
Published online: August 27, 2016
Core Tip
Core tip: Unexpected gallbladder cancer is diagnosed, as a surprise, after cholecystectomy for gallstones. A second surgical procedure consisting in a re-resection may be required depending on the depth of invasion. The discovery of cancer represents a challenge for the surgeon who must inform the patient many days after cholecystectomy and must evaluate the indication for a re-resection. The presence of a residual disease in the operative specimen after re-resection is the most important prognostic factor.