Vol. 4, Issue 1, Part A (2018)

Abstract
Gall bladder cancer (GBC) is the most frequent and aggressive malignancy of the biliary tract with very poor prognosis. Radical resection remains the main potential curative treatment for operable injuries. Despite the fact that laparoscopic approach is presently considered as standard of care for some gastrointestinal malignancies, surgical community is still hesitant to utilize this approach for GBC probably because of fear of tumor dissemination, deficient lymphadenectomy and in general agnostic approach. Aim of this study was to share our initial experience of laparoscopic radical cholecystectomy (LRC) for suspected early GBC. From Dec 2015 to June 2016, six patients were included in this study. 2 were incidental, diagnosed in histopathology after laparoscopic cholecystectomy in our center. We selected the patient for lap radical cholecystectomy who are in early stage cancer and not much of liver parenchymal invasion. There were 3 male and 3female patients in study group and mean age was 54years (Range 35-74yrs). Majority of the patient presented with pain abdomen and one patient presented with cholangitis because of obstructed CBD stone. Mean operative time was 332 minutes (Range 240-480minutes) and average blood loss was 232ml (Range 180-300ml). The average post op hospital stay was 5.6 days (Range3-13days) and all other details are represented here below. Laparoscopic radical cholecystectomy with lymphadenectomy can be a reasonable option for the management of early GBC as far as specialized practicality and oncological freedom along with offering the conventional advantages of minimal access approach.