Abstract
Surgical resection of the tumor is the only curative therapy for gallbladder cancer; however, the prognosis after curative operation is still poor in patients with advanced gallbladder cancer. The prognosis of patients with gallbladder cancer is strongly related to the T factor; therefore, appropriate surgical treatment according to the T factor is essential. As the strong evidence for surgical management of gallbladder cancer does not exist, the establishment of standard surgical strategy is needed in each stage. Especially, surgical management for T2 gallbladder cancer is still controversial. Our standard operation for T2 gallbladder cancer is S4a+S5 hepatic resection with extrahepatic bile duct resection and lymph node dissection. We believe that this procedure has advantages in improving the prognosis after operation. Further studies are needed to reveal the appropriate surgical management for advanced gall bladder cancer.
