Laparoscopic surgery for gallbladder cancer: An expert consensus statement

Ho Seong Han, Yoo Seok Yoon, Anil K. Agarwal, Giulio Belli, Osamu Itano, Andrew A. Gumbs, Dong Sup Yoon, Chang Moo Kang, Seung Eun Lee, Toshifumi Wakai, Roberto I. Troisi

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background: Despite the increasing number of reports on the favorable outcomes of laparoscopic surgery for gallbladder cancer (GBC), there is no consensus regarding this surgical procedure. Objective: The study aimed to develop a consensus statement on the application of laparoscopic surgery for GBC based on expert opinions. Methods: A consensus meeting among experts was held on September 10, 2016, in Seoul, Korea. Results: Early concerns regarding port site/peritoneal metastasis after laparoscopic surgery have been abated by improved preoperative recognition of GBC and careful manipulation to avoid bile spillage. There is no evidence that laparoscopic surgery is associated with decreased survival compared with open surgery in patients with early-stage GBC if definitive resection during/after laparoscopic cholecystectomy is performed. Although experience with laparoscopic extended cholecystectomy for GBC has been limited to a few experts, the postoperative and survival outcomes were similar between laparoscopic and open surgeries. Laparoscopic reoperation for postoperatively diagnosed GBC is technically challenging, but its feasibility has been demonstrated by a few experts. Conclusions: Laparoscopic surgery for GBC is still in the early phase of the adoption curve, and more evidence is required to assess this procedure.

Original languageEnglish
Pages (from-to)1-6
Number of pages6
JournalDigestive Surgery
Volume36
Issue number1
DOIs
Publication statusPublished - 2018 Dec 1

Fingerprint

Gallbladder Neoplasms
Laparoscopy
Laparoscopic Cholecystectomy
Survival
Expert Testimony
Korea
Reoperation
Bile
Neoplasm Metastasis

All Science Journal Classification (ASJC) codes

  • Surgery
  • Gastroenterology

Cite this

Han, H. S., Yoon, Y. S., Agarwal, A. K., Belli, G., Itano, O., Gumbs, A. A., ... Troisi, R. I. (2018). Laparoscopic surgery for gallbladder cancer: An expert consensus statement. Digestive Surgery, 36(1), 1-6. https://doi.org/10.1159/000486207
Han, Ho Seong ; Yoon, Yoo Seok ; Agarwal, Anil K. ; Belli, Giulio ; Itano, Osamu ; Gumbs, Andrew A. ; Yoon, Dong Sup ; Kang, Chang Moo ; Lee, Seung Eun ; Wakai, Toshifumi ; Troisi, Roberto I. / Laparoscopic surgery for gallbladder cancer : An expert consensus statement. In: Digestive Surgery. 2018 ; Vol. 36, No. 1. pp. 1-6.
@article{951dd3bd9b2b45a7b5e1cf592cd8d91e,
title = "Laparoscopic surgery for gallbladder cancer: An expert consensus statement",
abstract = "Background: Despite the increasing number of reports on the favorable outcomes of laparoscopic surgery for gallbladder cancer (GBC), there is no consensus regarding this surgical procedure. Objective: The study aimed to develop a consensus statement on the application of laparoscopic surgery for GBC based on expert opinions. Methods: A consensus meeting among experts was held on September 10, 2016, in Seoul, Korea. Results: Early concerns regarding port site/peritoneal metastasis after laparoscopic surgery have been abated by improved preoperative recognition of GBC and careful manipulation to avoid bile spillage. There is no evidence that laparoscopic surgery is associated with decreased survival compared with open surgery in patients with early-stage GBC if definitive resection during/after laparoscopic cholecystectomy is performed. Although experience with laparoscopic extended cholecystectomy for GBC has been limited to a few experts, the postoperative and survival outcomes were similar between laparoscopic and open surgeries. Laparoscopic reoperation for postoperatively diagnosed GBC is technically challenging, but its feasibility has been demonstrated by a few experts. Conclusions: Laparoscopic surgery for GBC is still in the early phase of the adoption curve, and more evidence is required to assess this procedure.",
author = "Han, {Ho Seong} and Yoon, {Yoo Seok} and Agarwal, {Anil K.} and Giulio Belli and Osamu Itano and Gumbs, {Andrew A.} and Yoon, {Dong Sup} and Kang, {Chang Moo} and Lee, {Seung Eun} and Toshifumi Wakai and Troisi, {Roberto I.}",
year = "2018",
month = "12",
day = "1",
doi = "10.1159/000486207",
language = "English",
volume = "36",
pages = "1--6",
journal = "Digestive Surgery",
issn = "0253-4886",
publisher = "S. Karger AG",
number = "1",

}

Han, HS, Yoon, YS, Agarwal, AK, Belli, G, Itano, O, Gumbs, AA, Yoon, DS, Kang, CM, Lee, SE, Wakai, T & Troisi, RI 2018, 'Laparoscopic surgery for gallbladder cancer: An expert consensus statement', Digestive Surgery, vol. 36, no. 1, pp. 1-6. https://doi.org/10.1159/000486207

Laparoscopic surgery for gallbladder cancer : An expert consensus statement. / Han, Ho Seong; Yoon, Yoo Seok; Agarwal, Anil K.; Belli, Giulio; Itano, Osamu; Gumbs, Andrew A.; Yoon, Dong Sup; Kang, Chang Moo; Lee, Seung Eun; Wakai, Toshifumi; Troisi, Roberto I.

In: Digestive Surgery, Vol. 36, No. 1, 01.12.2018, p. 1-6.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Laparoscopic surgery for gallbladder cancer

T2 - An expert consensus statement

AU - Han, Ho Seong

AU - Yoon, Yoo Seok

AU - Agarwal, Anil K.

AU - Belli, Giulio

AU - Itano, Osamu

AU - Gumbs, Andrew A.

AU - Yoon, Dong Sup

AU - Kang, Chang Moo

AU - Lee, Seung Eun

AU - Wakai, Toshifumi

AU - Troisi, Roberto I.

PY - 2018/12/1

Y1 - 2018/12/1

N2 - Background: Despite the increasing number of reports on the favorable outcomes of laparoscopic surgery for gallbladder cancer (GBC), there is no consensus regarding this surgical procedure. Objective: The study aimed to develop a consensus statement on the application of laparoscopic surgery for GBC based on expert opinions. Methods: A consensus meeting among experts was held on September 10, 2016, in Seoul, Korea. Results: Early concerns regarding port site/peritoneal metastasis after laparoscopic surgery have been abated by improved preoperative recognition of GBC and careful manipulation to avoid bile spillage. There is no evidence that laparoscopic surgery is associated with decreased survival compared with open surgery in patients with early-stage GBC if definitive resection during/after laparoscopic cholecystectomy is performed. Although experience with laparoscopic extended cholecystectomy for GBC has been limited to a few experts, the postoperative and survival outcomes were similar between laparoscopic and open surgeries. Laparoscopic reoperation for postoperatively diagnosed GBC is technically challenging, but its feasibility has been demonstrated by a few experts. Conclusions: Laparoscopic surgery for GBC is still in the early phase of the adoption curve, and more evidence is required to assess this procedure.

AB - Background: Despite the increasing number of reports on the favorable outcomes of laparoscopic surgery for gallbladder cancer (GBC), there is no consensus regarding this surgical procedure. Objective: The study aimed to develop a consensus statement on the application of laparoscopic surgery for GBC based on expert opinions. Methods: A consensus meeting among experts was held on September 10, 2016, in Seoul, Korea. Results: Early concerns regarding port site/peritoneal metastasis after laparoscopic surgery have been abated by improved preoperative recognition of GBC and careful manipulation to avoid bile spillage. There is no evidence that laparoscopic surgery is associated with decreased survival compared with open surgery in patients with early-stage GBC if definitive resection during/after laparoscopic cholecystectomy is performed. Although experience with laparoscopic extended cholecystectomy for GBC has been limited to a few experts, the postoperative and survival outcomes were similar between laparoscopic and open surgeries. Laparoscopic reoperation for postoperatively diagnosed GBC is technically challenging, but its feasibility has been demonstrated by a few experts. Conclusions: Laparoscopic surgery for GBC is still in the early phase of the adoption curve, and more evidence is required to assess this procedure.

UR - http://www.scopus.com/inward/record.url?scp=85040715836&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85040715836&partnerID=8YFLogxK

U2 - 10.1159/000486207

DO - 10.1159/000486207

M3 - Article

C2 - 29339660

AN - SCOPUS:85040715836

VL - 36

SP - 1

EP - 6

JO - Digestive Surgery

JF - Digestive Surgery

SN - 0253-4886

IS - 1

ER -

Han HS, Yoon YS, Agarwal AK, Belli G, Itano O, Gumbs AA et al. Laparoscopic surgery for gallbladder cancer: An expert consensus statement. Digestive Surgery. 2018 Dec 1;36(1):1-6. https://doi.org/10.1159/000486207