Incidental gall bladder cancer - Surgery and chemotherapy - safe laparoscopic cholecystectomy

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06/25/23

Gall bladder cancer is very common in India and incidental and missed gall bladder cancer are unfortunately on the rise. Incidental gall bladder cancer management is challenging and needs a multi-disciplinary approach. This talk summarises the latest surgical management strategies for incidental gall bladder cancer. For a detailed discussion on gall bladder cancer management and biliary cancers management including hilar cholangiocarcinoma, do have a look at our webinar on the same - https://youtu.be/mDNKcjbCNYE

As we see in the presentation, incidental gall bladder cancer has to be differentiated from missed gall bladder cancer. The aim is to spread awareness on this topic and identify the "high-risk gall bladders" so as to avoid missing gall bladder cancer. The management relies on few key factors such as bile spillage in laparoscopic cholecystectomy, port site management, use of endobags for specimen retrieval, stage of the disease on final histopathology, and so on..

All these factors when considered in the management of these patients give a better outcome. We prefer giving neoadjuvant therapy to patients with bile spillage as that helps us tests the biology of the disease. Radical Cholecystectomy is the treatment of choice for cases beyond T1a. For details, do watch the video and leave your experiences in the comments section.

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