Tratamento do câncer primário da vesícula biliar: estudo de 40 casos

• Autor(a) principal: Carneiro, Paulo César Alves
• Data de Publicação: 2023
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Brasileira de Cancerologia (Online)
• Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/2969
• topic: Câncer da Vesícula Biliar; Tratamento Cirúrgico; Quimioterapia; Complicações Pós-Operatórias; Mortalidade Pós-Operatória; Gallbladder Cancer; Surgical Treatment; Chemotherapy; Postoperative Complications; Postoperative Mortality

The treatment of gallbladder primary cancer is usually ineffective and consists of simple cholecystectomy, cholecystectomy with wedge resection of the hepatic bed na radical surgical procedures. Separately the therapeutical method obtains the best resuits. Fourty cases of patients carrying galibiadder primary cancer were studied, diagnosed and treated at the Surgery Department (General Surgery Service of the “Hospital Universitário Clementina Fraga Filho") of the Medical School of the “Universidade Federal do Rio de Janeiro”, in the period from March 1978 to December 1989. The surgical procedures used were multiple and varied, due to the evolutive stage ofthe disease, which were carried out in 36 cases (90%), the chemotherapic treatment having been associated. Among the palliative surgeries, the cholecystectomy and/or biopsy and/or drainage of the outer or inner bladder way and/or derivation of the gastrointestinal transit was carried out in 18 cases (47.4%). Exploratory laparotomy with biopsy was made in nine cases (23.7%) and associated with procedures of bladder drainage and/or derivation of the gastrointestinal transit in four cases (10.4%). The instituted antineoplasic chemotherapy did not contribute for increasing the survival of the patients. Immediate postoperative complications occurred in 16 cases (44.4%) and the iate onesoccurredin 12 cases (33.3%). Postoperative mortaiity occurred in 12 cases (33.3%). The authors compared their resuits with those reported in the medical literature.