Laparoscopic Cholecystectomy on Porcelain Gallbladder in 13 Cases_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LIN Lin , JIN Junzhe , LIANG Jian

Department of Liver and Cholecyst Surgery， The Fourth Affiliated Hospital of China Medical University, Shenyang 110032, ChinaCorresponding Author: LIANG Jian, E-mail: liangj63110@vip.sina.com;

Corresponding author：

Keywords：

Porcelain gallbladder; Cholecystectomy; Laparoscope

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Abstract Full text Figures/Tables Video References Cited by

Objective 　To investigate the possibility of laparoscopic cholecystectomy （LC） on porcelain gallbladder.
Methods 　Twenty-four cases of porcelain gallbladder， who were operated in China Medical University， including 13 LC cases， from 2006 to 2008 were retrospectively reviewed.
Results 　Of 24 porcelain gallbladder cases (0.48%) in 4964 cholecystectomy patients， calcification of gallbladder in 87.50%(21/24) patients was diagnosed by ultrasonography. Of 13 patients who were cured by LC, one suffered from postoperative leak bile, no metastasis were found by following up 12 or 14 months in two gallbladder carcinoma cases.
Conclusion 　There’s specificity of ultrasonographic image in porcelain gallbladder, in which LC is safe to be performed and routine frozen pathology during operation is necessary.

Citation： LIN Lin,JIN Junzhe,LIANG Jian. Laparoscopic Cholecystectomy on Porcelain Gallbladder in 13 Cases. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2009, 16(9): 745-747. doi: Copy

1.	Elías Pollina J, Delgado Alvira R, Martínez-Pardo NG, et al. Must we change the surgical treatment of gallstones? [J]. Cir Pediatr, 2008; 21(2): 96-99.
2.	Kane RA, Jacobs R, Katz J, et al. Porcelain gallbladder: ultrasound and CT appearance [J]. Radiology, 1984; 152(1): 137-141.
3.	Towfigh S, McFadden DW, Cortina GR, et al. Porcelain ga-llbladder is not associated with gallbladder carcinoma [J]. Am Surg, 2001; 67(1): 7-10.
4.	Kwon AH, Inui H, Matsui Y, et al. Laparoscopic cholecystectomy in patients with porcelain gallbladder based on the preoperative ultrasound findings [J]. Hepatogastroenterology, 2004; 51(58): 950-953.
5.	Freund MC. Images in clinical medicine: porcelain gallbladder [J]. N Engl J Med, 1994; 330(26): 1906.
6.	Stephen AE, Berger DL. Carcinoma in the porcelain gallbladder: a relationship revisited [J]. Surgery, 2001; 129(6): 699-703.
7.	Lacaine F. Is the laparoscopic approach appropriate for porcelain gallbladder? [J]. J Chir (Paris), 2003; 140(2): 115-119.
8.	宋录金，邓雅莉，李莎, 等. 腹腔镜胆囊切除中转326例分析 [J]. 中国普通外科杂志， 1998； 7（3）： 146-148.
9.	罗书画，马俊，黄中力, 等. 胆总管窗的临床研究 [J]. 中国普外基础与临床杂志, 2009； 16（3）： 215-217.
10.	印慨，郑成竹，胡旭光, 等. 瓷化样胆囊的腹腔镜切除技术探讨 [J]. 腹腔镜外科杂志, 2005; 10(5)： 297-298.
11.	孙登群，龚仁华，王敬民, 等. 腹腔镜胆囊切除术后表现不典型胆瘘的原因及防治 [J]. 中国普外基础与临床杂志, 2009； 15（4）： 278-280.
12.	沈柏用, 郑民华, 李宏为, 等. 腹腔镜胆囊切除术中肝中静脉损伤的危险性分析 [J]. 中华外科杂志, 2002; 40(1): 36-40.
13.	Puia IC, Vlad L, Iancu C, et al. Laparoscopic cholecystectomy for porcelain gallbladder [J]. Chirurgia (Bucur), 2005; 100(2): 187-189.
14.	Kuroki T, Tajima Y, Matsuzaki S, et al. Pre- and intraoperative evaluation of biliary system for successful laparoscopic cholecystectomy in porcelain gallbladder patients [J]. Hepatogastroenterology, 2002; 49(45): 621-624.
15.	Aoki Y, Shimura H, Li H, et al. A model of port-site metastases of gallbladder cancer: the influence of peritoneal injury and its repair on abdominal wall metastases [J]. Surgery, 1999; 125(5): 553-559.
16.	范育林，龚仁华，徐正涛, 等. 腹腔镜胆囊切除术意外胆囊癌28例报告 [J]. 中华微创外科杂志, 2008; 8（1）： 35-36.
17.	段立纪, 杨云江, 王存川, 等. 肝素及聚维酮碘预防穿刺孔转移瘤的实验研究 [J]. 中华实验外科杂志, 2004; 21（6）: 758.

1. Elías Pollina J, Delgado Alvira R, Martínez-Pardo NG, et al. Must we change the surgical treatment of gallstones? [J]. Cir Pediatr, 2008; 21(2): 96-99.
2. Kane RA, Jacobs R, Katz J, et al. Porcelain gallbladder: ultrasound and CT appearance [J]. Radiology, 1984; 152(1): 137-141.
3. Towfigh S, McFadden DW, Cortina GR, et al. Porcelain ga-llbladder is not associated with gallbladder carcinoma [J]. Am Surg, 2001; 67(1): 7-10.
4. Kwon AH, Inui H, Matsui Y, et al. Laparoscopic cholecystectomy in patients with porcelain gallbladder based on the preoperative ultrasound findings [J]. Hepatogastroenterology, 2004; 51(58): 950-953.
5. Freund MC. Images in clinical medicine: porcelain gallbladder [J]. N Engl J Med, 1994; 330(26): 1906.
6. Stephen AE, Berger DL. Carcinoma in the porcelain gallbladder: a relationship revisited [J]. Surgery, 2001; 129(6): 699-703.
7. Lacaine F. Is the laparoscopic approach appropriate for porcelain gallbladder? [J]. J Chir (Paris), 2003; 140(2): 115-119.
8. 宋录金，邓雅莉，李莎, 等. 腹腔镜胆囊切除中转326例分析 [J]. 中国普通外科杂志， 1998； 7（3）： 146-148.
9. 罗书画，马俊，黄中力, 等. 胆总管窗的临床研究 [J]. 中国普外基础与临床杂志, 2009； 16（3）： 215-217.
10. 印慨，郑成竹，胡旭光, 等. 瓷化样胆囊的腹腔镜切除技术探讨 [J]. 腹腔镜外科杂志, 2005; 10(5)： 297-298.
11. 孙登群，龚仁华，王敬民, 等. 腹腔镜胆囊切除术后表现不典型胆瘘的原因及防治 [J]. 中国普外基础与临床杂志, 2009； 15（4）： 278-280.
12. 沈柏用, 郑民华, 李宏为, 等. 腹腔镜胆囊切除术中肝中静脉损伤的危险性分析 [J]. 中华外科杂志, 2002; 40(1): 36-40.
13. Puia IC, Vlad L, Iancu C, et al. Laparoscopic cholecystectomy for porcelain gallbladder [J]. Chirurgia (Bucur), 2005; 100(2): 187-189.
14. Kuroki T, Tajima Y, Matsuzaki S, et al. Pre- and intraoperative evaluation of biliary system for successful laparoscopic cholecystectomy in porcelain gallbladder patients [J]. Hepatogastroenterology, 2002; 49(45): 621-624.
15. Aoki Y, Shimura H, Li H, et al. A model of port-site metastases of gallbladder cancer: the influence of peritoneal injury and its repair on abdominal wall metastases [J]. Surgery, 1999; 125(5): 553-559.
16. 范育林，龚仁华，徐正涛, 等. 腹腔镜胆囊切除术意外胆囊癌28例报告 [J]. 中华微创外科杂志, 2008; 8（1）： 35-36.
17. 段立纪, 杨云江, 王存川, 等. 肝素及聚维酮碘预防穿刺孔转移瘤的实验研究 [J]. 中华实验外科杂志, 2004; 21（6）: 758.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Laparoscopic Cholecystectomy on Porcelain Gallbladder in 13 Cases

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