Best Gallbladder Surgeon in Mumbai for Gallbladder Stone Removal

Best Surgeon for Gallbladder Stone Removal Surgery

Although rare in rest of the world, gall bladder cancer is one of the commonest cancers in India. It is highly prevalent in North Indian states with a very high incidence in elderly females and commonly associated with gall stones. Surgery- radical cholecystectomy, is the best and only treatment option for localized and locally advanced gallbladder cancer. Dr krunal is the best gallbladder surgeon in mumbai for gallbladder stone removal surgery.

  • Nausea & Vomiting
  • Lump in abdomen
  • Abdominal bloating
  • Upper abdominal pain
  • Fever
  • Weight loss
  • Jaundice

Gallbladder cancer is dangerous because it is often diagnosed late in its course, when the cancer is already large enough to cause blockage and invade nearby structures. Most of the time it is found only when a patient is having surgery for gallstones (incidental gallbladder cancer surgery).

Cancer can also present with subtle, vague symptoms like loss of appetite, chronic abdominal discomfort, weight loss, itching (pruritus), yellowing of the whites of the eyes (scleral icterus), and jaundice.

The diagnosis is made based on a combination of history and physical examination, laboratory tests, radiologic imaging (ultrasound, computed tomography, magnetic resonance imaging, and/or positron emission tomography), and histopathology report following incidental detection.

The first step after diagnosing gallbladder cancer is to determine if it is limited to the gallbladder and ducts (localized) or if it spread to other organs in the body (metastatic). If the disease is localized, surgery-radical cholecystectomy is the only treatment that offers a possibility of cure. If the cancer is locally advanced or too large, sometimes chemotherapy can be used to shrink it so that surgery can be easier and safer.

Frequently asked questions & patient queries on Gallbladder Cancer

What is the survival rate for gallbladder cancer?
The early-stage disease has good survival. Locally advanced disease (node-positive or with liver/adjacent organ infiltration) has a 5-year survival rate of 30 -40 percent with multimodality treatment (surgery + chemotherapy). Patients with metastatic disease have poor survival 5-10 percent 5 yr survival.
Is Stage 4 gallbladder cancer curable?
Stage IV gallbladder cancer is one where gallbladder cancer has metastasized to other organs in the body ( non-adjacent liver, distant nodes, lung or peritoneum). As such stage IV gallbladder is not curable but chemotherapy can be offered with palliative intent.
What type of chemo is used for gallbladder cancer?
Gallbladder and other biliary tract cancers are inherently chemoresistant. The drugs most commonly used as chemotherapy for gallbladder cancer are Gemcitabine and Cisplatin.
How is gallbladder cancer detected?
India has the highest incidence of gallbladder cancer and is prevalent in North India. Most Gallbladder cancers are detected incidentally after laproscopic surgery for gall stones. Others present with symptoms like pain in the right abdomen loss of appetite and weight loss or jaundice in advanced stages.

What is radical cholecystectomy?

Radical cholecystectomy typically involves removing the gallbladder along with a small amount of adjacent liver and lymph nodes along the blood vessels and biliary tract. Very rarely, a more extensive operation is needed to remove parts of the biliary tract, liver, large and small bowel.

If the cancer was found while performing a cholecystectomy for gall stone (incidental detection), a second operation (revision radical cholecystectomy) to remove parts of the liver and lymph nodes is necessary. In presence of high risk features for cancer (gallbladder wall thickening, large polyps, growing polyps, raised tumor marker CA19-9, xanthogranulomatous cholecystitis, Porcelain gall bladder, North Indian and elderly females, positive family history, elderly males) along with gall stones, surgeon should be prepared to perform the radical cholecystectomy in the same setting (anticipatory radical cholecystectomy). It is highly recommended that such surgery is carried out at center in close co-ordination with an oncosurgeon.

Some patients may need chemotherapy after surgery. If the disease is metastatic at the time of diagnosis, usually surgery is not indicated and chemotherapy is the first choice of treatment.

Translate »