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Comparison of the Oncological Outcomes of Open versus Laparoscopic Surgery for T2 Gallbladder Cancer: A Propensity-Score-Matched Analysisopen access

Authors
Cho, Jin-KyuKim, Jae-RiJang, Jae-YoolKim, Han-GilKim, Jae-MyungKwag, Seung-JinPark, Ji-HoKim, Ju-YeonJu, Young-TaeJeong, Chi-Young
Issue Date
May-2022
Publisher
MDPI
Keywords
gallbladder carcinoma; oncological outcome; laparoscopy
Citation
JOURNAL OF CLINICAL MEDICINE, v.11, no.9
Indexed
SCIE
SCOPUS
Journal Title
JOURNAL OF CLINICAL MEDICINE
Volume
11
Number
9
URI
https://scholarworks.bwise.kr/gnu/handle/sw.gnu/1350
DOI
10.3390/jcm11092644
ISSN
2077-0383
Abstract
Although laparoscopic treatment for T1 gallbladder cancer (GBC) has been described previously, the differences in oncologic outcomes between laparoscopic and conventional open surgery for T2 GBC have not been investigated. We aimed to assess the role of laparoscopic surgery using retrospectively collected data for 81 patients with T2 GBC who underwent surgical resection between January 2010 and December 2017. Eligible patients were classified into "laparoscopic" and "open" groups. Propensity-score matching was performed in a 1:1 ratio. The effects of surgery type on surgical and oncological outcomes were investigated. After propensity-score matching, 19 patients were included in the open and laparoscopic surgery groups. The median follow-up durations were 70 and 26 months in the open and laparoscopic groups, respectively. The operative time (316.8 +/- 80.3 vs. 218.9 +/- 145.0 min, p = 0.016) and length of postoperative hospital stay (14.4 +/- 6.0 vs. 8.4 +/- 5.9 days, p = 0.004) were significantly shorter in the laparoscopic group. The three-year overall (86.3% vs. 88.9%, p = 0.660) and disease-free (76.4% vs. 60.2%, p = 0.448) survival rates were similar between the groups. Propensity-score matching showed that laparoscopic surgery for T2 GBC yielded similar long-term oncological outcomes and favorable short-term outcomes in comparison with open surgery. Laparoscopic treatment should be considered in patients with T2 GBC.
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