BACKGROUND: @entity1086 is a @entity344 with a very poor prognosis. The 5-year survival rate amounts to less than 5% in most series. In this study we reviewed the results of surgical treatment for @entity1086 with special reference to extended radical procedures. METHODS: Between 1995 and 2000 we enrolled 36 @entity1 (17 males and 19 females), 24 of whom were treated with simple cholecystectomy and 12 with radical resection (partial hepatectomy, regional lymphadenectomy, and common bile duct resection). The @entity5 were classified by stage using the criteria of the American Joint Committee on Cancer (AJCC). Stages, operative procedures, results of pathologic examinations and the outcome of the resected cases were reviewed. RESULTS: There were 2 postoperative deaths (0.55%). The mean follow-up period was 19.1 months (range 1-60). For stage I and II disease extended cholecystectomy had a better result than simple cholecystectomy: the 5-year survival rates were 38.4 versus 19%, respectively. For the @entity1 with advanced stage III or IV @entity1086 , a significant advantage of survival resulted in case of liver resection as compared to surgical treatment without liver resection: the 5-year survival rates were 20 and 0%, respectively. CONCLUSIONS: The survival of stage I-II @entity1 was good. For the @entity1 in higher stages the prognosis was significantly worse. In these cases more @entity146 surgery may be needed.

Surgery for XXXX . Our experience.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity146 :: ('MESH:D001523', 'Disease') :: ['aggressive'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumours'] @entity344 :: ('MESH:D005767', 'Disease') :: ['gastrointestinal malignancy'] @entity1086 :: ('MESH:D005706', 'Disease') :: ['Carcinoma of the gallbladder', 'gallbladder carcinoma']
@entity1086 :: (MESH:D005706,Disease) :: ['carcinoma of the gallbladder']
