Abstract
In this article, we reviewed the techniques and outcomes of minimally invasive surgery for gallbladder cancer performed at an expert center. The techniques of laparoscopic extended cholecystectomy with the short- and long-term outcomes at our center were described. The short- and long-term survival outcomes of laparoscopic extended cholecystectomy are comparable to open surgery. Laparoscopic surgery is a safe, effective alternative for open surgery in the treatment of gallbladder cancer. The benefits of robotic surgery should be proven with further research.
Highlights
The treatment of gallbladder cancer (GBC) can be variable depending on the stage of disease
A variety of operations are performed, from simple cholecystectomy performed for T1a cancers to extended right hemihepatectomy and bile duct resection performed for more advanced cancers
We review our history of minimally invasive surgery (MIS) for GBC
Summary
The treatment of gallbladder cancer (GBC) can be variable depending on the stage of disease. We started a prospective study on laparoscopic surgery for early GBC in 2004. When there was no invasion, and the frozen section confirmed malignancy, laparoscopic extended cholecystectomy (which includes lymphadenectomy) was performed. After confirming the oncologic safety, laparoscopic surgery has been cautiously applied to GBC with liver invasion.
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