Comorbidities and risk factors |
n (%) |
Diabetes |
38 (50) |
Hypertension |
38 (50) |
Smoking |
12 (16) |
Gallstones |
57 (75) |
Size of gallstones: |
Multiple, ≤1 cm |
43 (57.9) |
Between 1 and 2 cm |
10 (13.2) |
> 2 cm |
6 (7.9) |
Presenting symptom |
n (%) |
Obstructive jaundice |
1 (1) |
Right upper quadrant pain |
64 (84) |
Epigastric pain |
4 (5) |
Right upper quadrant and epigastric pain |
2 (3) |
Vomiting and epigastric pain |
2 (3) |
Painless obstructive jaundice |
2 (3) |
Anorexia with weight loss and constipation |
1 (1) |
Primary clinical diagnosis |
n (%) |
Biliary colic |
33 (43.4) |
Acute cholecystitis |
24 (31.6) |
Biliary pancreatitis |
7 (9.2) |
Painless obstructive jaundice secondary to malignancy |
1 (1.3) |
Chronic calcular cholecystitis |
10 (13.2) |
Irritable bowel syndrome |
1 (1.3) |
Imaging findings |
n (%) |
Metastatic GBC |
38 (50) |
Gallbladder mass |
8 (10.5) |
Gallbladder mucocele |
1 (1.3) |
Adenomyomatosis of gallbladder |
1 (1.3) |
No incidental findings (gallstones) |
27 (36.8) |
Intraoperative diagnosis |
n (%) |
Gallstones |
24 (31.6) |
Gallstones with polyp |
3 (3.9) |
Metastatic GBC |
7 (9.2) |
GBC |
9 (11.8) |
Adenomyomatosis of gallbladder |
1 (1.3) |
None |
32 (42.1) |
Procedure of staging |
n (%) |
Surgical |
30 (39) |
Clinical |
46 (61) |
Pathological staging post-cholecystectomy |
n (%) |
Stage I |
3 (3.9) |
Stage II |
13 (17.1) |
Stage IIB |
1 (1.3) |
Stage IIIB |
2 (2.6) |
Stage IVB |
57 (75) |
GBC type |
n (%) |
Adenocarcinoma (NOS) |
57 (75) |
Papillary adenocarcinoma |
7 (9.2) |
Mucinous adenocarcinoma |
3 (3.9) |
Carcinosarcoma |
3 (3.9) |
Papillary carcinoma |
1 (1.3) |
Squamous cell carcinoma |
1 (1.3) |
Neuroendocrine carcinoma |
1 (1.3) |
Sarcomatoid carcinoma |
1 (1.3) |
Adenosquamous carcinoma |
1 (1.3) |
Poorly differentiated carcinoma |
1 (1.3) |
Resectability |
n (%) |
Yes |
31 (40.8) |
No |
47 (61.8) |
Surgical resection attempted |
n (%) |
Yes |
31 (40.8) |
Successful |
21 (67.7) |
Unsuccessful |
10 (32.3) |
No |
45 (59.2) |
Lymphadenectomy |
n (%) |
Yes |
24 (31.6) |
No |
52 (68.4) |
Excision site |
n (%) |
Bile duct |
20 (26.3) |
Port site |
13 (17.1) |
Survival to the end of study period |
n (%) |
No |
44 (57.9) |
Yes |
20 (26.3) |
Lost follow up (censored) |
12 (15.8) |
Recurrence |
n (%) |
Yes |
8 (10.5) |
No |
14 (18.4) |
Unresectable disease or lost follow up |
54 (71.0) |
Disease stage upon recurrence |
n (%) |
Stage II |
4 (50.0) |
Stage IVB |
4 (50.0) |