Yoon Yoo-Seok, Han Ho-Seong, Agarwal Anil, Belli Giulio, Itano Osamu, Gumbs Andrew A, Yoon Dong Sup, Kang Chang Moo, Lee Seung Eun, Wakai Toshifumi, Troisi Roberto I
Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Seoul National University Bundang Hospital, Seongnam, Republic of
Dig Surg. 2019;36(1):7-12. doi: 10.1159/000486208. Epub 2018 Jan 16.
Favorable outcomes of laparoscopic surgery for gallbladder cancer (GBC) have been reported; yet consensus on the indications and surgical techniques for laparoscopic surgery for GBC is lacking.
To evaluate the current status of laparoscopic surgery for GBC by analyzing the results of a survey of experts and by reviewing the relevant published literature.
Before an expert meeting was held on September 10, 2016 in Seoul, Korea, an international survey was undertaken of expert surgeons in the field of GBC surgery.
The majority of surgeons who responded agreed that laparoscopic surgery has an acceptable role for suspicious or early GBC, and that laparoscopic extended cholecystectomy has a value comparable to that of open surgery in selected patients with GBC. However, the selection criteria for laparoscopic surgery for overt GBC and the details of the surgical techniques varied among surgeons.
This survey and literature review revealed that laparoscopic surgery for GBC is performed in highly selected cases. However, the favorable outcomes in the published reports and the positive view of experienced surgeons for this operative procedure suggest a high likelihood that laparoscopic surgery will be more frequently performed for GBC in the future.
已有报道称腹腔镜手术治疗胆囊癌（GBC）取得了良好的效果；然而，对于GBC腹腔镜手术的适应证和手术技术仍缺乏共识。
通过分析专家调查结果并回顾相关已发表文献，评估GBC腹腔镜手术的现状。
在2016年9月10日于韩国首尔举行专家会议之前，对GBC手术领域的专家外科医生进行了一项国际调查。
大多数回复的外科医生一致认为，腹腔镜手术对于可疑或早期GBC具有可接受的作用，并且在选定的GBC患者中，腹腔镜扩大胆囊切除术的价值与开放手术相当。然而，对于显性GBC腹腔镜手术的选择标准和手术技术细节，不同外科医生之间存在差异。
本次调查和文献综述表明，GBC腹腔镜手术仅在经过严格筛选的病例中进行。然而，已发表报告中的良好结果以及经验丰富的外科医生对该手术方法的积极看法表明，未来GBC腹腔镜手术的执行频率很可能会更高。
