ΙΝ ΤΙΜΕ CHOLECYSTECTOMY, IS ΤΗΕ ONLY SOLUTION ΙΝ ΤΗΕ TREATMENT OF ΤΗΕ GALLBLADDER CARCINOMA

Abstract

The gallbladder carcinoma, based on necrotomic foundings, occurs in o.5% of the cholelithiase, whereas in patients who underwent cholecystectomy this rate comes up to 1-2%. From 220 operations of the biliary tract in the last two years there have been done 214 cholecystectomies, from which 4 (1.8%) presented anotomico-pathological alterations of adenocarcinoma. Ιn two cases the carcinoma was limited in the gallbladder (filtering up to the muscularis) and was accompanied by cholelithiasis, which also was the pre-operative diagnosis, whereas in the other two cases where the patients were symptomatic and were operated for abstructive non-exemptible and there has been made a palliative operation, T-tube drainage and cholopeptic anastomosis. Ιn these two patients with histological diagnosis of in situ carcinoma, there has been done only simple cholecystectomy and the patients are well until nowadays. The rest twο patients whith extensive carcinoma, who underwent drainage operation, died 18 and 6 months postoperatively. Deductive to this, the incidence of the gallblodder carcinoma inpatients of Northwestern Greece with cholelithiasis is the same with the international data. The timely cholecystectomy, in lithiasic patients the only way of early diagnosis and effective therapy of the gallbladder carcinoma.