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Primary Surgical Therapy

  • ​Surgical treatment of gall bladder cancer should be undertaken by hepatobiliary surgeons with expertise and experience with these tumours
  • For gall bladder cancer identified incidentally at the time of cholecystectomy:
    • pTis - pT1a, N0M0: no further therapy necessary
    • pT2 pT3, N0M0: partial hepatectomy with peri-portal lymph node dissection should be considered. Bile duct resection has not been shown to increase survival
    • pT1b: role of radical surgery is controversial but should be considered in otherwise healthy patients
    • pT4 or any T stage with N2 nodal involvement is generally considered a contraindication for surgery

SOURCE: Primary Surgical Therapy ( )
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