Laparoscopic Cholecystectomy with Full-thickness Dissection and Laparoscopic Resection of the Gallbladder Bed for Polypoid and Wall Thickening Lesions

Abstract

[Background] We performed laparoscopic cholecystectomy with full-thickness dissection (LC-F) and laparoscopic resection of the gallbladder bed (LC-GB) for patients with wall thickening or polypoid lesions, including cancer of the gallbladder. The utility of these procedures were analyzed. [Methods] Short-term clinical results of 23 patients who had undergone LC-F and 3 patients who had undergone LC-GB between April 2010 and March 2013 were evaluated. [Results] There were no conversions to the open approach. Intraoperative gallbladder perforation occurred in one patient with LC-F, who was not diagnosed as malignant. The average blood loss of LC-F and LC-GB was 9.5 ml and 73.3 ml, and the average length of hospital stay was 2.6 days and 6.6 days, respectively. No morbidity was observed. Five (19.2%) of these patients were finally diagnosed with gall bladder cancer. All of the final surgical margins were pathologically negative. Of the five patients one patient died without recurrence due to other disease, and the others have no signs of recurrence. [Conclusions] LC-F and LC-GB allow complete resection of early stage cancer, and they are considered safe and less-invasive procedures.