Table 2.
Patients treated with recurrent disease after previous curative surgery for gallbladder cancer (n = 8).
Gender/Age [years] | TNM | Procedure | Time until reintervention [months] | Problem | Palliative procedure | Oucome |
female,49 | TxNxM0 | non anatomical liver resection after previous open CHE, no lymph dissection, no exploration of CBD | 22 | icterus | hepaticojejunostomy | 40 months later alive |
male, 69 | T2NxM0 | non anatomical liver resection after previous open CHE, no lymph dissection, no exploration of CBD | 6 | liver metastases seg. VII, tumour recurrence seg. IV/V | bisegmentectomy seg. IVb/V, cryotherapy seg. VII | died 4 months later |
female,69 | T2N1M0 | non anatomical liver resection Seg. IVb after previous laparoscopic CHE, radical lymph dissection, excision of port sites and tumour free resection margins CBD | 12 | icterus | seg. III-bypass, gastroenterostomy | died 3 months later |
male, 72 | T2NxM0 | T2 GBC after open CHE, no completion operation | 23 | tumour between hepaticoduodenal lig. and pancreas | exploration | died 6 months later |
female, 68 | T3N1M0 | anatomical liver resection Seg. IVb/V after open CHE, lymph dissection, no tumour free resection margin CBD | 3 | gastric stenosis, liver abscess | interventional abscess drainage, implantation venous port system | died 1 month later |
male, 64 | T3NxM0 | anatomical liver resection Seg. IVb/V after open CHE, no lymph dissection, tumour free resection margin CBD | 1 | duodenal stenosis | gastroenterostomy | died 1 month later |
female, 60 | T3NxM0 | bisegmentectomy seg. IVb/V en bloc with CHE, no lymph dissection tumour free resection margin of CBD, | 11 | skin metastasis | resection | died 13 months later |
male, 74 | T4NxM0 | non-anatomical wedge resection of seg. IVb during CHE, no lymph dissection, no tumour free resection margin of CBD | 2 | tumour progress with liver infiltration | cryotherapy | lost for follow up |
Abbreviations: CHE = cholecystectomy, CBD = common bile duct, seg. = Couinaud liver segment