THE SYSTEMATIC REVIEW OF OPEN VERSUS LAPAROSCOPIC SURGERY IN THE MANAGEMENT OF PATIENTS WITH GALLBLADDER CANCER
DOI:
https://doi.org/10.61841/6fjxzw62Keywords:
Open surgery, laparoscopic, gallbladder cancer, comparisonAbstract
Background: Gallbladder cancer (GBC) is a rare highly aggressive disease with a global prevalence of 2/100000 people, with women being 2-3 times more likely than men. Management requires a multimodal strategy, with surgery being the gold standard for curative intent. Nowadays, treating common gastrointestinal cancers with laparoscopic techniques is commonly recognized. However, there is still debate on the laparoscopic method for treating GBC.
The aim: This study aims to show the differences between open and laparoscopic surgery for gallbladder cancer.
Methods: By comparing itself to the standards set by the Preferred Reporting Items for Systematic Review and MetaAnalysis (PRISMA) 2020, this study was able to show that it met all of the requirements. So, the experts were able to make sure that the study was as up-to-date as it was possible to be. For this search approach, publications that came out between 2014 and 2024 were taken into account. Several different online reference sources, like PubMed and ScienceDirect, were used to do this. It was decided not to take into account review pieces, works that had already been published, or works that were only half done.
Results: In the PubMed database, the results of our search brought up 22 articles, whereas the results of our search on ScienceDirect brought up 85 articles. The results of the search conducted by title screening yielded a total 17 articles for PubMed and 12 articles for ScienceDirect. We compiled a total of 22 papers, 11 of which came from PubMed and 11 of which came from ScienceDirect. We excluded 3 review articles, 4 duplicate articles, 4 non-full text articles, 2 articles having ineligible subjects, and 1 article having insufficient outcomes. In the end, we included eight research that met the criteria.
Conclusion: The outcomes of laparoscopic and open surgery in the management of gallbladder cancer are comparable in terms of post-operative complications, recurrence rates, survival rates, and disease free survival rates. However, laparoscopic approach shows benefit on length of hospital stay.
References
Rawla P, Sunkara T, Thandra KC, Barsouk A. Epidemiology of gallbladder cancer. Vol. 5, Clinical and Experimental Hepatology. Termedia Publishing House Ltd.; 2019. p. 93–102.
Hickman L, Contreras C. Gallbladder Cancer: Diagnosis, Surgical Management, and Adjuvant Therapies. Vol. 99, Surgical Clinics of North America. W.B. Saunders; 2019. p. 337–55.
Okumura K, Gogna S, Gachabayov M, Felsenreich DM, McGuirk M, Rojas A, et al. Gallbladder cancer: Historical treatment and new management options. World J Gastrointest Oncol. 2021;13(10):1317–35.
Mahdavifar N, Mohammadian M, Salehiniya H. GALLBLADDER CANCER IN THE WORLD: EPIDEMIOLOGY, INCIDENCE, MORTALITY AND RISK FACTORS. Iran; 2018.
Yip VS, Gomez D, Brown S, Byrne C, White D, Fenwick SW, et al. Management of incidental and suspicious gallbladder cancer: Focus on early referral to a tertiary centre. HPB. 2014;16(7):641–7.
Edge SB, Compton CC. The american joint committee on cancer: The 7th edition of the AJCC cancer staging manual and the future of TNM. Vol. 17, Annals of Surgical Oncology. 2010. p. 1471–4.
Han HS, Yoon YS, Agarwal AK, Belli G, Itano O, Gumbs AA, et al. Laparoscopic surgery for gallbladder cancer: An expert consensus statement. Dig Surg. 2018 Dec 1;36(1):1–6.
Agarwal AK, Javed A, Kalayarasan R, Sakhuja P. Minimally invasive versus the conventional open surgical approach of a radical cholecystectomy for gallbladder cancer: A retrospective comparative study. HPB. 2015 Jun 1;17(6):536–41.
Cao J, Wang Y, Zhang B, Hu J, Topatana W, Li S, et al. Comparison of Outcomes After Primary Laparoscopic Versus Open Approach for T1b/T2 Gallbladder Cancer. Front Oncol. 2021 Oct 28;11.
Cho JK, Kim JR, Jang JY, Kim HG, Kim JM, Kwag SJ, et al. Comparison of the Oncological Outcomes of Open versus Laparoscopic Surgery for T2 Gallbladder Cancer: A Propensity-Score-Matched Analysis. J Clin Med. 2022 May 1;11(9).
Dou C, Provincial People’s Hospital Z, Zhang C, Liu J, Zhang C. Propensity Score Analysis of Outcomes Following Laparoscopic or Open Radical Resection for Gallbladder Cancer in T2 and T3 Stages. Journal of Gastrointestinal Surgery. 2021;
Feng JW, Yang XH, Liu CW, Wu BQ, Sun DL, Chen XM, et al. Comparison of Laparoscopic and Open Approach in Treating Gallbladder Cancer. Journal of Surgical Research. 2019 Feb 1;234:269–76.
Jang JY, Han HS, Yoon YS, Cho JY, Choi YR. Retrospective comparison of outcomes of laparoscopic and open surgery for T2 gallbladder cancer – Thirteen-year experience. Surg Oncol. 2019 Jun 1;29:142– 7.
Kim WJ, Lim TW, Park PJ, Choi SB, Kim WB. Safety and feasibility of pure laparoscopic extended cholecystectomy: comparison with the open technique in a propensity analysis at a single center. Surg Endosc. 2021 Nov 1;35(11):6166–72.
Nag H, Sachan A, Nekarakanti P. Laparoscopic versus open extended cholecystectomy with bisegmentectomy (s4b and s5) in patients with gallbladder cancer. J Minim Access Surg. 2021 Jan 1;17(1):21–7.
Kumar S, Mukkamalla R, Kashyap S, Recio-Boiles A, Babiker HM. Gallbladder Cancer [Internet]. 2023. Available from: https://www.ncbi.nlm.nih.gov/books/NBK442002/
Zhou Y, Yuan K, Yang Y, Ji Z, Zhou D, Ouyang J, et al. Gallbladder cancer: current and future treatment options. Vol. 14, Frontiers in Pharmacology. Frontiers Media S.A.; 2023.
Lee JW, Kwon JH, Lee JW. Oncologic and Long-Term Outcomes of Laparoscopic and Open Extended Cholecystectomy for Gallbladder Cancer. J Clin Med. 2022 Apr 1;11(8).
Wu X, Li BL, Zheng CJ. Application of laparoscopic surgery in gallbladder carcinoma. World J Clin Cases. 2023 Jun 6;11(16):3694–705.
Jang JY, Heo JS, Han Y, Chang J, Kim JR, Kim H, et al. Impact of type of surgery on survival outcome in patients with early gallbladder cancer in the era of minimally invasive surgery. Medicine (United States). 2016 May 1;95(22).
Zaidi MY, Maithel SK. Updates on Gallbladder Cancer Management. Vol. 20, Current Oncology Reports. Current Medicine Group LLC 1; 2018.
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Licensing
Ninety Nine Publication publishes articles under the Creative Commons Attribution 4.0 International License (CC BY 4.0). This licensing allows for any use of the work, provided the original author(s) and source are credited, thereby facilitating the free exchange and use of research for the advancement of knowledge.
Detailed Licensing Terms
Attribution (BY): Users must give appropriate credit, provide a link to the license, and indicate if changes were made. Users may do so in any reasonable manner, but not in any way that suggests the licensor endorses them or their use.
No Additional Restrictions: Users may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
