|
|
| Line 7: |
Line 7: |
| ==Surgery== | | ==Surgery== |
|
| |
|
| Gallbladder cancer may be treated with a [[cholecystectomy]], [[surgery]] to remove the [[gallbladder]] and some of the tissues around it. Nearby [[lymph nodes]] may be removed. A [[laparoscope]] is sometimes used to guide gallbladder surgery. The [[laparoscope]] is attached to a video camera and inserted through an incision (port) in the abdomen. Surgical instruments are inserted through other ports to perform the surgery. Because there is a risk that gallbladder cancer cells may spread to these ports, tissue surrounding the port sites may also be removed. The following proceedures are recommended.
| | * |
| *Cholecystectomy | |
| *Radical gallbladder resection
| |
| *Palliative surgery
| |
| If the cancer has spread and cannot be removed, the following types of palliative surgery may relieve symptoms:
| |
| | |
| *Surgical [[biliary]] bypass: If the tumor is blocking the [[small intestine]] and [[bile]] is building up in the [[gallbladder]], a [[biliary]] bypass may be done. During this operation, the gallbladder or bile duct will be cut and sewn to the [[small intestine]] to create a new pathway around the blocked area.
| |
| *Endoscopic stent placement: If the tumor is blocking the [[bile duct]], surgery may be done to put in a stent (a thin, flexible tube) to drain [[bile]] that has built up in the area. The stent may be placed through a catheter that drains to the outside of the body or the stent may go around the blocked area and drain the bile into the small intestine.
| |
| *Percutaneous transhepatic [[biliary]] drainage: A procedure done to drain [[bile]] when there is a blockage and endoscopic stent placement is not possible. An [[x-ray]] of the [[liver]] and [[bile duct]]s is done to locate the blockage. Images made by [[ultrasound]] are used to guide placement of a stent, which is left in the [[liver]] to drain [[bile]] into the [[small intestine]] or a collection bag outside the body. This procedure may be done to relieve [[jaundice]] before surgery.<ref>
| |
| http://www.cancer.gov/types/gallbladder/patient/gallbladder-treatment-pdq#section/_50</ref>
| |
|
| |
|
| ==References== | | ==References== |