TY  - JOUR
T1  - STrategies for surgical treatment of gallbladder carcinoma based on information available before resection—invited critique
AU  - Polk, Jr HC
Y1  - 2003/07/01
N1  - 10.1001/archsurg.138.7.750
JO  - Archives of Surgery
SP  - 750
EP  - 750
VL  - 138
IS  - 7
N2  - 
Kokudo and colleagues report a massive and expensive effort to preoperatively stage patients with gallbladder cancer referred to a hospital specialized in treating patients with cancer. To some extent, they and their data are victims of referral bias. The current application of their conclusions to most patients being evaluated for biliary surgery worldwide is not feasible due to the dominance of the twin tenets of minimal access and cost control. Furthermore, the extensive work-up and precise extended operations where indicated still create a very low yield of well patients in the long run.

SN  - 0004-0010
M3  - doi: 10.1001/archsurg.138.7.750
UR  - http://dx.doi.org/10.1001/archsurg.138.7.750
ER  -