Q) Radical cholecystectomy includes all except
a) Segment IVb and Va
b) 2cm wedge resection
c) Rt Extended Hepatectomy
d) Paraaortic lymphnodes
History of Radical Cholecystectomy
- Early 20th century removal of gall bladder and wedge of liver ( No lymphadenectomy)
- In 1954, Glenn et al - radical resection procedure with intended regional lymphadenectomy (portal lymph node dissection), designated as “radical cholecystectomy” (Glenn operation)
- Fahim et al in 1962 advocated radical resection consisting of hepatectomy and portal lymph node dissection