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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 periportal 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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