关键词: 意外胆囊癌, 胆囊结石, 保胆取石

Abstract: Reconsidering the reduction of incidental gallbladder cancer incidence        WANG Jian, YANG Chuan-xin.Department of Hepatobiliary and Pancreatic Surgery, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200233, China
Corresponding author: WANG Jian, E-mail: dr_wangjian@126.com
Abstract    The essence of incidental gallbladder cancer (IGBC) lies in preoperative misdiagnosis and missed diagnosis. Treating malignant gallbladder diseases in the same way as benign gallbladder diseases seriously violates the principles of tumor radical cure and significantly affects patients' prognosis. The main objective and subjective reasons for the occurrence of IGBC are insufficient preoperative imaging assessments or inadequate evaluations and the failure to detect early-stage gallbladder cancer through imaging evaluations. Clinicians should start by addressing subjective factors and raising awareness of preventive measures to reduce the incidence of IGBC. Standardized diagnosis and treatment of benign gallbladder diseases are crucial to preventing IGBC. Adequate preoperative evaluation, strict control of surgical indications, selection of appropriate surgical methods, and meticulous examination of postoperative gallbladder specimens are essential to avoid misdiagnosis and missed diagnosis of gallbladder cancer, complicating benign gallbladder diseases and improving patients' prognosis.

Key words: incidental gallbladder cancer, gallstones, gallbladder-protected lithotomy