Portal de Periódicos da CAPES

Artigo Acesso aberto Produção Nacional Revisado por pares

BIBTEX RIS

BRAZILIAN CONSENSUS ON INCIDENTAL GALLBLADDER CARCINOMA

2020; Colégio Brasileiro de Cirurgia Digestiva; Volume: 33; Issue: 1 Linguagem: Inglês

10.1590/0102-672020190001e1496

2317-6326

Felipe José Fernández Coimbra, Orlando Jorge Martins Torres, Ruslan Alikhanov, Anil Agarwal, Patrick Pessaux, Eduardo de Souza Martins Fernandes, C. Quireze, Raphael L. C. Araújo, André L. Godoy, Fábio Waechter, Alexandre Prado de Resende, Marcio Boff, Gustavo Coelho, Marcelo Bruno de Rezende, Marcelo Moura Linhares, Marcos Belotto, José Maria Assunção Moraes-Junior, Paulo Cezar G AMARAL, Rinaldo Danesi Pinto, Tércio Genzini, Agnaldo Soares Lima, Héber Salvador de Castro Ribeiro, Eduardo J.B. Ramos, Marciano Anghinoni, L.L. Pereira, Marcelo Enne, Adriano Sampaio, André L. Montagnini, Alessandro L. Diniz, Victor Hugo Fonseca de Jesus, Bhawna Sirohi, Shailesh V. Shrikhande, Renata D’Alpino Peixoto, Antônio Nocchi Kalil, Nicolás Jarufe, Martin Smith, Paulo Herman,

Pediatric Hepatobiliary Diseases and Treatments

Incidental gallbladder cancer is defined as a cancer discovered by histological examination after cholecystectomy. It is a potentially curable disease. However, some questions related to their management remain controversial and a defined strategy is associated with better prognosis.To develop the first evidence-based consensus for management of patients with incidental gallbladder cancer in Brazil.Sixteen questions were selected, and 36 Brazilian and International members were included to the answer them. The statements were based on current evident literature. The final report was sent to the members of the panel for agreement assessment.Intraoperative evaluation of the specimen, use of retrieval bags and routine histopathology is recommended. Complete preoperative evaluation is necessary and the reoperation should be performed once final staging is available. Evaluation of the cystic duct margin and routine 16b1 lymph node biopsy is recommended. Chemotherapy should be considered and chemoradiation therapy if microscopically positive surgical margins. Port site should be resected exceptionally. Staging laparoscopy before reoperation is recommended, but minimally invasive radical approach only in specialized minimally invasive hepatopancreatobiliary centers. The extent of liver resection is acceptable if R0 resection is achieved. Standard lymph node dissection is required for T2 tumors and above, but common bile duct resection is not recommended routinely.It was possible to prepare safe recommendations as guidance for incidental gallbladder carcinoma, addressing the most frequent topics of everyday work of digestive and general surgeons.