THE PROGNOSIS OF CARCINOMA OF THE GALLBLADDER FROM THE EXTENSION AT THE TIME OF OPERATION

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In order to examine the prognosis of the carcinoma of the gallbladder, 44 cases were divided into 3 groups from the extension of the cancer at the time of operation.The prognosis is bad enough and it is not necessarily due to the operative method, but rather may well be due to the stage of carcinoma extension itself.Two cases out of 7 cases in Stage 1 survived 5 years or longer. Cases in Stage II survived only 8 months average after operation in spite of extensive surgical procedure.Histological examination of the operative and autopsy's specimens told that the operative procedure should involve not only cholecystectomy, resection of the bile duct, of all of the liver tissue which comprises the gallbladder bed and nodal dissection, but also that of the peritoneum and lymphatic tissue with nervous tissue.In cases of biliary tract obstruction due to the carcinoma of gallbladder should be done percutaneous transhepatic hepatic duct drainage or percutaneous gallbladder drainage.Cases in Stage III may get good result with palliative therapy like above, if it is found preoperatively.
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