Original Article
Radiofrequency ablation of gallbladder bed in radical surgery for stage T1b gallbladder cancer
Li Guoming, Sun Wenbing, Ke Shan, Guo Shigang
Published 2020-01-28
Cite as Chin J Hepatobiliary Surg, 2020,26(01): 44-47. DOI: 10.3760/cma.j.issn.1007-8118.2020.01.010
Abstract
ObjectiveTo study the value of radiofrequency ablation of gallbladder beds in radical surgery for stage T1b gallbladder cancer.
MethodsA retrospective study was conducted on 21 patients with stage T1b gallbladder cancer treated in the Department of Hepatobiliary Pancreas and Spleen Surgery, West Campus, Beijing Chaoyang Hospital, Capital Medical University, from April 1, 2011 to March 31, 2019. Patients who were diagnosed with frozen section during operation were included into the surgery group. Patients who were diagnosed postoperatively and underwent radical surgery for the gallbladder carcinoma were included in the secondary surgery group. The differences in surgical time, bleeding volume, survival rate, and survival time between the two groups after regular follow-up were compared, and the 5-year cumulative survival rates and overall survival time of the two groups were calculated.
ResultsAll patients underwent radical gallbladder cancer surgery. There were 14 males and 7 females, aged from 26 to 70 (49.0±13.5) years. There were no perioperative deaths. There were 15 patients in the operation group, and 6 patients in the secondary surgery group. The bleeding volume of the surgery group was significantly less than the secondary surgery group [(101.3±35.5) ml vs. (177.0±44.6) ml, P<0.05]. There were no significant differences in surgical time, survival rate, and survival time between the two groups (all P>0.05). The 5-year cumulative survival rate for the two groups of patients was 56.5%, and the overall survival time was (79.0±9.3) months.
ConclusionsRadiofrequency ablation of the gallbladder bed was safe and effective in radical surgery of T1b gallbladder cancer. For T1b stage gallbladder cancer, which is difficult to diagnose during surgery, secondary radical surgery achieved the same results as primary radical surgery.
Key words:
Gallbladder neoplasms; Radiofrequency ablation; T1b stage; Gallbladder bed
Contributor Information
Li Guoming
The Second Department of General Surgery, Chaoyang Central Hospital, Chaoyang 122000, Liaoning Province, China
Sun Wenbing
Department of Hepatobiliary Pancreas and Spleen Surgery, West Campus, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing 100043, China
Ke Shan
Department of Hepatobiliary Pancreas and Spleen Surgery, West Campus, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing 100043, China
Guo Shigang
Chaoyang Central Hospital, Chaoyang 122000, Liaoning Province, China
