علاج سرطان المرارة القابل للاستئصال دون انتشار ورمي بعيد

DOI: 10.1016/j.annonc.2022.10.506

• If GBC is diagnosed during imaging (for symptomatic patients) or when patients present with jaundice, evaluation of potential resectability is the key factor.
• Surgery is, at present, the only modality that can cure BTC and should be agreed by a specialist hepatobiliary multidisciplinary tumour board.
• Radical surgery, which includes lymphadenectomy, is the only curative-intent treatment for BTC.
• Basic surgical principles apply, thus resection with no tumour at the margin (R0) is the aim.
• Resection of some or all of segment IVb/V of the liver, depending on the extent of invasion, is carried out together with a lymphadenectomy of the hepatoduodenal ligament.
• Curative-intent resection of tumours located at the infundibulum requires resection of the bile duct, the duodenal bulb and, potentially, the pancreatic head.