We are pleased to respond to the letters by Drs Badruddoja and Fujita. In these letters, Drs Badruddoja and Fujita shared their experience, knowledge, and thoughts on the surgical management of early GBC.1
Laparoscopic cholecystectomy is currently the treatment of choice for benign gallbladder disease. Nevertheless, if GBC is preoperatively suspected, then open surgery is recommended for performing extended cholecystectomy including lymphadenectomy. Laparoscopic lymphadenectomy is now widely used for treating colon cancer2 and gastric cancer.3 The efficacy of laparoscopic lymphadenectomy for these 2 malignancies has been reported to be adequate in terms of the oncologic aspects. If primary GBC can be radically resected and the lymph node can be adequately dissected under laparoscopy in terms of the oncologic aspects, then the laparoscopic approach could be an alternative treatment for selected patients with early stage GBC.
Cho JY, Han H, Yoon Y, Ahn KS, Kim Y, Lee K. Is Laparoscopic Surgery for Early Gallbladder Cancer Less Invasive or Dangerous?—Reply. Arch Surg. 2010;145(8):798-799. doi:10.1001/archsurg.2010.136