Outcomes of patients with gallbladder cancer presenting with acute cholecystitis
© 2024. The Author(s)..
The main purpose of this study is to explore the outcomes of patients found to have gallbladder cancer during investigation and diagnosis of acute cholecystitis. The incidence of primary gallbladder cancer co-existing in acute cholecystitis is not well defined in the literature, with anecdotal reports suggesting that they experience worse outcomes than patients with gallbladder cancer found incidentally.
METHODS: A retrospective review of all patients with gallbladder cancer managed at the Canberra Health Service between 1998 and May 2022 were identified and reviewed.
RESULTS: A total of 65 patients were diagnosed with primary gallbladder cancer during the study period with a mean age of 70.4 years (SD 11.4, range 59-81.8 years) and a female preponderance (74% versus 26%) with a ratio of 2.8. Twenty (31%) patients presented with acute calculus cholecystitis and were found to have a primary gallbladder cancer. This group of patients were older and predominantly female, but the difference was not statistically significant. The overall 5-year survival in the cohort was 20% (stage 1 63%, stage 2 23%, stage 3 16%, and stage 4 0%). There was no statistically significant difference in survival between those who presented with acute cholecystitis vs other presentations.
CONCLUSIONS: A third of the patients with gallbladder cancer presented with acute cholecystitis. There was no statistically significant difference in survival in those with bile spillage during cholecystectomy as well those presenting with acute cholecystitis.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2024 |
|---|---|
| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:409 |
|---|---|
| Enthalten in: |
Langenbeck's archives of surgery - 409(2024), 1 vom: 23. Feb., Seite 73 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Franco, Nunzio F [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Acute cholecystitis |
|---|
| Anmerkungen: |
Date Completed 26.02.2024 Date Revised 27.02.2024 published: Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1007/s00423-024-03261-8 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM36883400X |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM36883400X | ||
| 003 | DE-627 | ||
| 005 | 20240229164525.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 240229s2024 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1007/s00423-024-03261-8 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1309.xml |
| 035 | |a (DE-627)NLM36883400X | ||
| 035 | |a (NLM)38393412 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Franco, Nunzio F |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Outcomes of patients with gallbladder cancer presenting with acute cholecystitis |
| 264 | 1 | |c 2024 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 26.02.2024 | ||
| 500 | |a Date Revised 27.02.2024 | ||
| 500 | |a published: Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2024. The Author(s). | ||
| 520 | |a The main purpose of this study is to explore the outcomes of patients found to have gallbladder cancer during investigation and diagnosis of acute cholecystitis. The incidence of primary gallbladder cancer co-existing in acute cholecystitis is not well defined in the literature, with anecdotal reports suggesting that they experience worse outcomes than patients with gallbladder cancer found incidentally | ||
| 520 | |a METHODS: A retrospective review of all patients with gallbladder cancer managed at the Canberra Health Service between 1998 and May 2022 were identified and reviewed | ||
| 520 | |a RESULTS: A total of 65 patients were diagnosed with primary gallbladder cancer during the study period with a mean age of 70.4 years (SD 11.4, range 59-81.8 years) and a female preponderance (74% versus 26%) with a ratio of 2.8. Twenty (31%) patients presented with acute calculus cholecystitis and were found to have a primary gallbladder cancer. This group of patients were older and predominantly female, but the difference was not statistically significant. The overall 5-year survival in the cohort was 20% (stage 1 63%, stage 2 23%, stage 3 16%, and stage 4 0%). There was no statistically significant difference in survival between those who presented with acute cholecystitis vs other presentations | ||
| 520 | |a CONCLUSIONS: A third of the patients with gallbladder cancer presented with acute cholecystitis. There was no statistically significant difference in survival in those with bile spillage during cholecystectomy as well those presenting with acute cholecystitis | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Acute cholecystitis | |
| 650 | 4 | |a Gallbladder cancer | |
| 650 | 4 | |a Gallbladder malignancy | |
| 650 | 4 | |a Intraoperative spillage | |
| 700 | 1 | |a Lau, Ngee-Soon |e verfasserin |4 aut | |
| 700 | 1 | |a Liu, Wai M |e verfasserin |4 aut | |
| 700 | 1 | |a Rahim, Aadil |e verfasserin |4 aut | |
| 700 | 1 | |a Fadia, Mitali |e verfasserin |4 aut | |
| 700 | 1 | |a Chua, Yu Jo |e verfasserin |4 aut | |
| 700 | 1 | |a Jain, Ankit |e verfasserin |4 aut | |
| 700 | 1 | |a Yip, Desmond |e verfasserin |4 aut | |
| 700 | 1 | |a Gananadha, Sivakumar |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Langenbeck's archives of surgery |d 1998 |g 409(2024), 1 vom: 23. Feb., Seite 73 |w (DE-627)NLM095673148 |x 1435-2451 |7 nnns |
| 773 | 1 | 8 | |g volume:409 |g year:2024 |g number:1 |g day:23 |g month:02 |g pages:73 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1007/s00423-024-03261-8 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 409 |j 2024 |e 1 |b 23 |c 02 |h 73 | ||