CA G.B: routinely detected GB malignancy, mostly by imaging.
Missed Ca GB: detected during surgery, and missed during prior work up or imaging.
Incidental CA GB: cholecystectomy done and histology shows GB mailgnancy, or pt presents later on with features of CA GB after cholecystectomy, complete/partial.
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60 yrs male presented with pain in rt upper quadrant following cholecystectomy done 2 yrs back in Bihar.
histology report of GB: not available.
USG/ CECT: S/o mass in liver bed, in seg 4b and 5. likely incidental ca GB.
CA 19.9: NORAML.
Surgery: COMPLETION radical cholecystectomy with liver resection and lymphadinectomy, With duodenal sleeve resection and port site excision. no blood transfusion was given.
pt was discharged on POD 6.
HPE: S/O well differentiated adenocarcinoma of GB, all resection margins are free of tumor, and all lymph nodes are negative..port site nodule positive for malignancy...
pt is now subjected to adjuvant chemotherapy.
www.gisurgerysurat.com
www.sidshospital.com
You Tube : Dr Keyur Bhatt
Missed Ca GB: detected during surgery, and missed during prior work up or imaging.
Incidental CA GB: cholecystectomy done and histology shows GB mailgnancy, or pt presents later on with features of CA GB after cholecystectomy, complete/partial.
----------------------------------------------------------------------------------------------------------------
60 yrs male presented with pain in rt upper quadrant following cholecystectomy done 2 yrs back in Bihar.
histology report of GB: not available.
USG/ CECT: S/o mass in liver bed, in seg 4b and 5. likely incidental ca GB.
CA 19.9: NORAML.
Surgery: COMPLETION radical cholecystectomy with liver resection and lymphadinectomy, With duodenal sleeve resection and port site excision. no blood transfusion was given.
pt was discharged on POD 6.
HPE: S/O well differentiated adenocarcinoma of GB, all resection margins are free of tumor, and all lymph nodes are negative..port site nodule positive for malignancy...
pt is now subjected to adjuvant chemotherapy.
www.gisurgerysurat.com
www.sidshospital.com
You Tube : Dr Keyur Bhatt
Dr. Keyur Bhatt - Best
Gastro Surgeon
Dr. Keyur Bhatt- Best GI
Surgeon
Dr. Keyur Bhatt - Best
Gastro Surgeon
Dr. Keyur Bhatt- Best GI
Surgeon - Dr Keyur Bhatt - Best Gastro Surgeon
Dr. Keyur Bhatt- Best GI
Surgeon - Dr Keyur Bhatt - Best Gastro Surgeon
Dr Keyur
Bhatt- Best GI Surgeon
