Evidence map›Paper›PMID 26942156›Full record

ArticleAnnals of surgical treatment and research2016

Incidental gallbladder cancer after routine cholecystectomy: when should we suspect it preoperatively and what are predictors of patient survival?

Yongchel Ahn, Cheon-Soo Park, Shin Hwang, Hyuk-Jai Jang, Kun-Moo Choi, Sung-Gyu Lee

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Article in Annals of surgical treatment and research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
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14citing papers in PubMed, 2 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  12. Prognostic Factors for Operated Gallbladder Cancer.Journal of gastrointestinal cancer · 2019
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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Yongchel AhnDepartment of Hematology-Oncology, GangNeung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.
Cheon-Soo ParkDepartment of Surgery, GangNeung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.
Shin HwangDivision of Hepatobiliary Surgery and Liver Transplantation, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Hyuk-Jai JangDepartment of Surgery, GangNeung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.
Kun-Moo ChoiDepartment of Surgery, GangNeung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.
Sung-Gyu LeeDivision of Hepatobiliary Surgery and Liver Transplantation, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn about 1% of cases, incidental gallbladder cancers (iGBC) are found after routine cholecystectomy. The aim of this study is to compare clinical features of iGBC with benign GB disease and to evaluate factors affecting recurrence and survival.

methodsBetween January 1998 and March 2014, 4,629 patients received cholecystectomy and 73 iGBC patients (1.6%) were identified. We compared clinical features of 4,556 benign GB disease patients with 73 iGBC patients, and evaluated operative outcomes and prognostic factors in 56 eligible patients.

resultsThe iGBC patients were older and concomitant diseases such as hypertension and anemia were more common than benign ones. And an age of more than 65 years was the only risk factor of iGBC. Adverse prognostic factors affecting patients' survival were age over 65, advanced histology, lymph node metastasis, and lymphovascular invasion on multivariate analysis. Age over 65 years, lymph node involvement, and lymphovascular invasion were identified as unfavorable factors affecting survival in subgroup analysis of extended cholecystectomy with bile duct resection (EC with BDR, n = 22).

conclusionPrior to routine cholecystectomy, incidental GB cancer should be suspected especially in elderly patients. And advanced age, lymph node metastasis, and lymphovascular invasion are important prognostic factors in EC with BDR cohorts.

Indexed as

CholecystectomyGallbladder neoplasmsPrognosis

Identifiers

PMID26942156
PMCPMC4773457

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