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Article: Gallbladder cancer presenting with acute cholecystitis: A population-based study

TitleGallbladder cancer presenting with acute cholecystitis: A population-based study
Authors
KeywordsAcute cholecystitis
Gallbladder cancer
Laparoscopic cholecystectomy
Issue Date2005
PublisherSpringer New York LLC. The Journal's web site is located at http://link.springer-ny.com/link/service/journals/00464/
Citation
Surgical Endoscopy And Other Interventional Techniques, 2005, v. 19 n. 5, p. 697-701 How to Cite?
AbstractBackground: The role of laparoscopic cholecystectomy (LC) in acute cholecystitis remains controversial. The aim of the present study was to determine the incidence, clinicopathological characteristics, and outcome of patients with gallbladder cancer presenting with acute cholecystitis. Methods: We performed a retrospective analysis of patients with gallbladder cancer who presented with acute cholecystitis and were treated at the public hospitals in Hong Kong between 1998 and 2002. Results: Among 2,700 patients with acute cholecystitis managed with cholecystectomy (1,347 open and 1,353 LC), 63 patients (2.3%) were found to have gallbladder cancer. There were 44 women and 19 men with a mean age of 74.7 (±12.8) years. Adenocarcinoma (90.5%) was the most common cancer. The overall median survival was 5 months (95% CI = 2.6-7.4). The 5-year survival rate was 20.8%. Laparoscopic cholecystectomy was attempted in 11 patients and was completed successfully in six of them. There was no difference between the LC and open groups in the complication rate, hospital mortality rate, or survival rate. Conclusions: In the ethnic Chinese population of Hong Kong, the incidence of gallbladder cancer presenting with acute cholecystitis is higher than the same finding in patients undergoing elective cholecystectomy for cholelithiasis. Long-term survival is possible because such patients may be diagnosed at an early stage of the disease. © Springer Science+Business Media, Inc. 2005.
Persistent Identifierhttp://hdl.handle.net/10722/84281
ISSN
2015 Impact Factor: 3.54
2015 SCImago Journal Rankings: 1.695
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLam, CMen_HK
dc.contributor.authorYuen, AWen_HK
dc.contributor.authorWai, ACen_HK
dc.contributor.authorLeung, RMen_HK
dc.contributor.authorLee, AYen_HK
dc.contributor.authorNg, KKen_HK
dc.contributor.authorFan, STen_HK
dc.date.accessioned2010-09-06T08:51:06Z-
dc.date.available2010-09-06T08:51:06Z-
dc.date.issued2005en_HK
dc.identifier.citationSurgical Endoscopy And Other Interventional Techniques, 2005, v. 19 n. 5, p. 697-701en_HK
dc.identifier.issn0930-2794en_HK
dc.identifier.urihttp://hdl.handle.net/10722/84281-
dc.description.abstractBackground: The role of laparoscopic cholecystectomy (LC) in acute cholecystitis remains controversial. The aim of the present study was to determine the incidence, clinicopathological characteristics, and outcome of patients with gallbladder cancer presenting with acute cholecystitis. Methods: We performed a retrospective analysis of patients with gallbladder cancer who presented with acute cholecystitis and were treated at the public hospitals in Hong Kong between 1998 and 2002. Results: Among 2,700 patients with acute cholecystitis managed with cholecystectomy (1,347 open and 1,353 LC), 63 patients (2.3%) were found to have gallbladder cancer. There were 44 women and 19 men with a mean age of 74.7 (±12.8) years. Adenocarcinoma (90.5%) was the most common cancer. The overall median survival was 5 months (95% CI = 2.6-7.4). The 5-year survival rate was 20.8%. Laparoscopic cholecystectomy was attempted in 11 patients and was completed successfully in six of them. There was no difference between the LC and open groups in the complication rate, hospital mortality rate, or survival rate. Conclusions: In the ethnic Chinese population of Hong Kong, the incidence of gallbladder cancer presenting with acute cholecystitis is higher than the same finding in patients undergoing elective cholecystectomy for cholelithiasis. Long-term survival is possible because such patients may be diagnosed at an early stage of the disease. © Springer Science+Business Media, Inc. 2005.en_HK
dc.languageengen_HK
dc.publisherSpringer New York LLC. The Journal's web site is located at http://link.springer-ny.com/link/service/journals/00464/en_HK
dc.relation.ispartofSurgical Endoscopy and Other Interventional Techniquesen_HK
dc.subjectAcute cholecystitisen_HK
dc.subjectGallbladder canceren_HK
dc.subjectLaparoscopic cholecystectomyen_HK
dc.titleGallbladder cancer presenting with acute cholecystitis: A population-based studyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0930-2794&volume=19&issue=5&spage=697&epage=701&date=2005&atitle=Gallbladder+cancer+presenting+with+acute+cholecystitis:+a+population-based+studyen_HK
dc.identifier.emailFan, ST: stfan@hku.hken_HK
dc.identifier.authorityFan, ST=rp00355en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/s00464-004-9116-2en_HK
dc.identifier.pmid15776204-
dc.identifier.scopuseid_2-s2.0-21244480992en_HK
dc.identifier.hkuros105617en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-21244480992&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume19en_HK
dc.identifier.issue5en_HK
dc.identifier.spage697en_HK
dc.identifier.epage701en_HK
dc.identifier.isiWOS:000229184300019-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLam, CM=7402989820en_HK
dc.identifier.scopusauthoridYuen, AW=9338151700en_HK
dc.identifier.scopusauthoridWai, AC=26022225500en_HK
dc.identifier.scopusauthoridLeung, RM=8521474200en_HK
dc.identifier.scopusauthoridLee, AY=8521474300en_HK
dc.identifier.scopusauthoridNg, KK=7403179075en_HK
dc.identifier.scopusauthoridFan, ST=7402678224en_HK

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