Table of Contents
ISRN Surgery
Volume 2011, Article ID 827465, 2 pages
http://dx.doi.org/10.5402/2011/827465
Review Article

Reconsideration of Laparoscopic Cholecystectomy

1Department of Surgery, Tokyo Medical University, 6-7-1 Nishishinjuku Shinjuku-ku, Tokyo 160-0023, Japan
2Department of Internal Medicine, Tokyo Medical University, Tokyo 160-0023, Japan
3Department of Surgery, Hachioji Medical Center, Tokyo Medical University, Tokyo 160-0023, Japan

Received 1 April 2011; Accepted 4 May 2011

Academic Editor: J. D. Richardson

Copyright © 2011 Kazuhiko Kasuya et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We describe the surgical method of cases showing a distended gallbladder. Because the most important thing does not cause biliary tract injury, it is to find orientation carefully. The frequency of incidental gallbladder cancer was in 7 (0.7%) of the 983. Only cholecystectomy is necessary to be performed for Tis or T1 cancer, and surgery has to be changed to radical surgery for T2 cancer or deeper invasion. Laparoscopic cholecystectomy is already an established standard operation. In the presence of acute or severe chronic inflammation, special attention should be paid to these points.