Interpretation of “Expert consensus on the laparoscopic radical resection of gallbladder cancer (2023)”_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

ZENG Qihui ,  LI Fuyu

Division of Biliary Tract Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;

Corresponding?author：

LI Fuyu, Email: lfy_74@hotmail.com

Keywords：

radical operation of gallbladder carcinoma; laparoscopic surgery; consensus interpretation

DOI：

10.7507/1007-9424.202410046

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

The “Expert consensus on radical laparoscopic cholecystectomy (2023)” (following abbreviations as “this consensus”) was formulated by the Biliary Surgery Group of the Chinese Medical Association Surgery Branch and the Biliary Surgery Expert Working Group of the Surgeons Branch of the Chinese Medical Doctor Association, and was first published in the Chinese Journal of Surgery in April 2024. In this consensus, relevant experts discussed and formulated relevant recommendations on the operation process of laparoscopicradical resection of gallbladder cancer (LRRGC), and elaborated on many issues. We interpreted and discussed the safety and efficacy evaluation of LRRGC, the standardized operating procedures and technical key points in this procedure, as well as the surgical principles for reoperation of delayed diagnosed gallbladder cancer in this consensus so as to enhance readers’ understanding of this consensus. We also hoped that medical centers will make more attempts and research on LRRGC in order to standardize and promote the application of LRRGC.

Citation： ZENG Qihui, LI Fuyu. Interpretation of “Expert consensus on the laparoscopic radical resection of gallbladder cancer (2023)”. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2025, 32(1): 46-49. doi: 10.7507/1007-9424.202410046 Copy

1.	Steinert R, Nestler G, Sagynaliev E, et al. Laparoscopic cholecystectomy and gallbladder cancer. J Surg Oncol, 2006, 93(8): 682-689.
2.	Varshney S, Butturini G, Gupta R. Incidental carcinoma of the gallbladder. Eur J Surg Oncol, 2002, 28(1): 4-10.
3.	Roa JC, García P, Kapoor VK, et al. Gallbladder cancer. Nat Rev Dis Primers, 2022, 8(1): 69. doi: 10.1038/s41572-022-00398-y.
4.	中華醫學會外科學分會膽道外科學組,中國醫師協會外科醫師分會膽道外科專家工作組. 腹腔鏡膽囊癌根治性切除專家共識(2023). 中華外科雜志,2024,62(4): 265-272.
5.	Reber PU, Baer HU, Patel AG, et al. Port site metastases following laparoscopic cholecystectomy for unsuspected carcinoma of the gallbladder. Z Gastroenterol, 1998, 36(10): 901-907.
6.	Han HS, Yoon YS, Agarwal AK, et al. Laparoscopic surgery for gallbladder cancer: An expert consensus statement. Dig Surg, 2019, 36(1): 1-6.
7.	Ouchi K, Mikuni J, Kakugawa Y, et al. Laparoscopic cholecystectomy for gallbladder carcinoma: results of a Japanese survey of 498 patients. J Hepatobiliary Pancreat Surg, 2002, 9(2): 256-260.
8.	Ahmed SH, Usmani SUR, Mushtaq R, et al. Role of laparoscopic surgery in the management of gallbladder cancer: Systematic review & meta-analysis. Am J Surg, 2023, 225(6): 975-987.
9.	Nakanishi H, Miangul S, Oluwaremi TT, et al. Open versus laparoscopic surgery in the management of patients with gallbladder cancer: A systematic review and meta-analysis. Am J Surg, 2022, 224(1 Pt B): 348-357.
10.	Zhao X, Li XY, Ji W. Laparoscopic versus open treatment of gallbladder cancer: A systematic review and meta-analysis. J Minim Access Surg, 2018, 14(3): 185-191.
11.	AlMasri S, Nassour I, Tohme S, et al. Long-term survival following minimally invasive extended cholecystectomy for gallbladder cancer: A 7-year experience from the National Cancer Database. J Surg Oncol, 2020, 122(4): 707-715.
12.	Lee H, Choi DW, Park JY, et al. Surgical strategy for T2 gallbladder cancer according to tumor location. Ann Surg Oncol, 2015, 22(8): 2779-2786.
13.	Abramson MA, Pandharipande P, Ruan D, et al. Radical resection for T1b gallbladder cancer: a decision analysis. HPB (Oxford), 2009, 11(8): 656-663.
14.	Wakai T, Shirai Y, Yokoyama N, et al. Early gallbladder carcinoma does not warrant radical resection. Br J Surg, 2001, 88(5): 675-678.
15.	中華醫學會外科學分會膽道外科學組, 中國醫師協會外科醫師分會膽道外科專業委員會. 膽囊癌診斷和治療指南(2019版). 中華外科雜志, 2020, 58(4): 243-251.
16.	Aloia TA, Járufe N, Javle M, et al. Gallbladder cancer: expert consensus statement. HPB (Oxford), 2015, 17(8): 681-690.
17.	Okumura K, Gogna S, Gachabayov M, et al. Gallbladder cancer: Historical treatment and new management options. World J Gastrointest Oncol, 2021, 13(10): 1317-1335.
18.	Shirai Y, Wakai T, Hatakeyama K. Radical lymph node dissection for gallbladder cancer: indications and limitations. Surg Oncol Clin N Am, 2007, 16(1): 221-232.
19.	Nagakura S, Shirai Y, Yokoyama N, et al. Clinical significance of lymph node micrometastasis in gallbladder carcinoma. Surgery, 2001, 129(6): 704-713.
20.	中國研究型醫院學會肝膽胰外科專業委員會, 國家衛生健康委員會公益性行業科研專項專家委員會. 肝膽管結石病膽腸吻合術應用專家共識(2019版). 中華消化外科雜志, 2019, 18(5): 414-418.
21.	中國研究型醫院學會肝膽胰外科專業委員會. 腹腔鏡肝切除術治療肝細胞癌中國專家共識(2020版). 中華消化外科雜志, 2020, 19(11): 1119-1134.
22.	中國醫師協會外科醫師分會肝臟外科醫師委員會. 肝臟外科手術止血中國專家共識(2023版). 中華普通外科學文獻(電子版), 2023, 17(2): 81-92.
23.	中華醫學會外科學分會. 膽道手術縫合技術與縫合材料選擇中國專家共識(2018版). 中國實用外科雜志, 2019, 39(1): 15-20.
24.	Pawlik TM, Gleisner AL, Vigano L, et al. Incidence of finding residual disease for incidental gallbladder carcinoma: implications for re-resection. J Gastrointest Surg, 2007, 11(11): 1478-1487.Pawlik TM, Gleisner AL, Vigano L, et al. Incidence of finding residual disease for incidental gallbladder carcinoma: implications for re-resection. J Gastrointest Surg, 2007, 11(11): 1478-1487.
25.	Isambert M, Leux C, Métairie S, et al. Incidentally-discovered gallbladder cancer: When, why and which reoperation?. J Visc Surg, 2011, 148(2): e77-e84. doi: 10.1016/j.jviscsurg.2011.02.005.
26.	Gani F, Buettner S, Margonis GA, et al. Assessing the impact of common bile duct resection in the surgical management of gallbladder cancer. J Surg Oncol, 2016, 114(2): 176-180.
27.	Berger-Richardson D, Chesney TR, Englesakis M, et al. Trends in port-site metastasis after laparoscopic resection of incidental gallbladder cancer: A systematic review. Surgery, 2017, 161(3): 618-627.
28.	S?reide K, Guest RV, Harrison EM, et al. Systematic review of management of incidental gallbladder cancer after cholecystectomy. Br J Surg, 2019, 106(1): 32-45.

1. Steinert R, Nestler G, Sagynaliev E, et al. Laparoscopic cholecystectomy and gallbladder cancer. J Surg Oncol, 2006, 93(8): 682-689.
2. Varshney S, Butturini G, Gupta R. Incidental carcinoma of the gallbladder. Eur J Surg Oncol, 2002, 28(1): 4-10.
3. Roa JC, García P, Kapoor VK, et al. Gallbladder cancer. Nat Rev Dis Primers, 2022, 8(1): 69. doi: 10.1038/s41572-022-00398-y.
4. 中華醫學會外科學分會膽道外科學組,中國醫師協會外科醫師分會膽道外科專家工作組. 腹腔鏡膽囊癌根治性切除專家共識(2023). 中華外科雜志,2024,62(4): 265-272.
5. Reber PU, Baer HU, Patel AG, et al. Port site metastases following laparoscopic cholecystectomy for unsuspected carcinoma of the gallbladder. Z Gastroenterol, 1998, 36(10): 901-907.
6. Han HS, Yoon YS, Agarwal AK, et al. Laparoscopic surgery for gallbladder cancer: An expert consensus statement. Dig Surg, 2019, 36(1): 1-6.
7. Ouchi K, Mikuni J, Kakugawa Y, et al. Laparoscopic cholecystectomy for gallbladder carcinoma: results of a Japanese survey of 498 patients. J Hepatobiliary Pancreat Surg, 2002, 9(2): 256-260.
8. Ahmed SH, Usmani SUR, Mushtaq R, et al. Role of laparoscopic surgery in the management of gallbladder cancer: Systematic review & meta-analysis. Am J Surg, 2023, 225(6): 975-987.
9. Nakanishi H, Miangul S, Oluwaremi TT, et al. Open versus laparoscopic surgery in the management of patients with gallbladder cancer: A systematic review and meta-analysis. Am J Surg, 2022, 224(1 Pt B): 348-357.
10. Zhao X, Li XY, Ji W. Laparoscopic versus open treatment of gallbladder cancer: A systematic review and meta-analysis. J Minim Access Surg, 2018, 14(3): 185-191.
11. AlMasri S, Nassour I, Tohme S, et al. Long-term survival following minimally invasive extended cholecystectomy for gallbladder cancer: A 7-year experience from the National Cancer Database. J Surg Oncol, 2020, 122(4): 707-715.
12. Lee H, Choi DW, Park JY, et al. Surgical strategy for T2 gallbladder cancer according to tumor location. Ann Surg Oncol, 2015, 22(8): 2779-2786.
13. Abramson MA, Pandharipande P, Ruan D, et al. Radical resection for T1b gallbladder cancer: a decision analysis. HPB (Oxford), 2009, 11(8): 656-663.
14. Wakai T, Shirai Y, Yokoyama N, et al. Early gallbladder carcinoma does not warrant radical resection. Br J Surg, 2001, 88(5): 675-678.
15. 中華醫學會外科學分會膽道外科學組, 中國醫師協會外科醫師分會膽道外科專業委員會. 膽囊癌診斷和治療指南(2019版). 中華外科雜志, 2020, 58(4): 243-251.
16. Aloia TA, Járufe N, Javle M, et al. Gallbladder cancer: expert consensus statement. HPB (Oxford), 2015, 17(8): 681-690.
17. Okumura K, Gogna S, Gachabayov M, et al. Gallbladder cancer: Historical treatment and new management options. World J Gastrointest Oncol, 2021, 13(10): 1317-1335.
18. Shirai Y, Wakai T, Hatakeyama K. Radical lymph node dissection for gallbladder cancer: indications and limitations. Surg Oncol Clin N Am, 2007, 16(1): 221-232.
19. Nagakura S, Shirai Y, Yokoyama N, et al. Clinical significance of lymph node micrometastasis in gallbladder carcinoma. Surgery, 2001, 129(6): 704-713.
20. 中國研究型醫院學會肝膽胰外科專業委員會, 國家衛生健康委員會公益性行業科研專項專家委員會. 肝膽管結石病膽腸吻合術應用專家共識(2019版). 中華消化外科雜志, 2019, 18(5): 414-418.
21. 中國研究型醫院學會肝膽胰外科專業委員會. 腹腔鏡肝切除術治療肝細胞癌中國專家共識(2020版). 中華消化外科雜志, 2020, 19(11): 1119-1134.
22. 中國醫師協會外科醫師分會肝臟外科醫師委員會. 肝臟外科手術止血中國專家共識(2023版). 中華普通外科學文獻(電子版), 2023, 17(2): 81-92.
23. 中華醫學會外科學分會. 膽道手術縫合技術與縫合材料選擇中國專家共識(2018版). 中國實用外科雜志, 2019, 39(1): 15-20.
24. Pawlik TM, Gleisner AL, Vigano L, et al. Incidence of finding residual disease for incidental gallbladder carcinoma: implications for re-resection. J Gastrointest Surg, 2007, 11(11): 1478-1487.Pawlik TM, Gleisner AL, Vigano L, et al. Incidence of finding residual disease for incidental gallbladder carcinoma: implications for re-resection. J Gastrointest Surg, 2007, 11(11): 1478-1487.
25. Isambert M, Leux C, Métairie S, et al. Incidentally-discovered gallbladder cancer: When, why and which reoperation?. J Visc Surg, 2011, 148(2): e77-e84. doi: 10.1016/j.jviscsurg.2011.02.005.
26. Gani F, Buettner S, Margonis GA, et al. Assessing the impact of common bile duct resection in the surgical management of gallbladder cancer. J Surg Oncol, 2016, 114(2): 176-180.
27. Berger-Richardson D, Chesney TR, Englesakis M, et al. Trends in port-site metastasis after laparoscopic resection of incidental gallbladder cancer: A systematic review. Surgery, 2017, 161(3): 618-627.
28. S?reide K, Guest RV, Harrison EM, et al. Systematic review of management of incidental gallbladder cancer after cholecystectomy. Br J Surg, 2019, 106(1): 32-45.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Interpretation of “Expert consensus on the laparoscopic radical resection of gallbladder cancer (2023)”

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content