Invited Critique
Oct 2011

Porcelain Gallbladder and Risk of Gallbladder Cancer Comment on “Reassessing the Need for Prophylactic Surgery in Patients With Porcelain Gallbladder”

Author Affiliations

Author Affiliations: University of Pittsburgh Liver Cancer Center, Pittsburgh, Pennsylvania.

Arch Surg. 2011;146(10):1148. doi:10.1001/archsurg.2011.258

Porcelain gallbladder (PGB) has been considered an indication for cholecystectomy in the medically fit patient based on studies from the 1950s and 1960s reporting an incidence of gallbladder cancer (GBC) ranging from 12% to 62%.1,2 As laparoscopic cholecystectomy became widely used, the recommended treatment for PGB has remained open cholecystectomy.3

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