Gallbladder Cancer Resection Dhaka

• Suspicious gallbladder mass or thickening on imaging
• Incidentally found cancer after routine cholecystectomy (T1b or higher)
• Gallbladder polyps >1 cm with malignant features
• Porcelain gallbladder with mass
• Selected metastatic disease for palliative bypass

The extent of surgery depends on T-stage. T1a (mucosa only) is cured by simple cholecystectomy. T1b–T3 requires extended (radical) cholecystectomy — removal of the gallbladder en bloc with a 2 cm wedge of liver bed (segments IVb and V) and porta hepatis lymphadenectomy. Selected T3–T4 tumours invading adjacent liver may need formal right hepatectomy or extended right hepatectomy with bile-duct resection — overlapping with cholangiocarcinoma surgery.

Every gallbladder cancer case at Dr. Arefin's practice is reviewed in a multidisciplinary tumour board with radiology, oncology, and pathology. Adjuvant chemotherapy (capecitabine) is recommended for T2 and above, or for node-positive disease. This integrated pathway gives the best long-term survival outcomes.

5-year survival is 80–90% for T1a, 50–70% for T1b–T2 with R0 resection, and 20–40% for T3 disease. Structured follow-up includes 3-monthly imaging and tumour-marker (CA 19-9) review for the first 2 years. Book a consultation for second opinion or surgical planning.