The timing of reoperation for incidental gallbladder cancer : Sooner or later?
Menée à partir de données portant sur 207 patients atteints d'un cancer de la vésicule biliaire découvert fortuitement lors d'une cholécystectomie, cette étude multicentrique analyse, du point de vue de la survie globale, le délai optimal avant la seconde intervention chirurgicale
Ethun and colleagues3 investigate this question using retrospective data from the multi-institution US Extrahepatic Biliary Malignancy Consortium database. They suggest that re-resection at 4 to 8 weeks following diagnosis (group B) optimizes long-term survival outcomes compared with reoperation at early (less than 4 weeks, group A) or late (more than 8 weeks, group C) intervals. The authors are to be commended for providing the largest analysis of incidental gallbladder cancer specifically evaluating the timing of reoperation, but the conclusions from their retrospective analysis should be met with caution.
JAMA Surgery , commentaire, 2015