Dysplasia of Cystic Duct and Positive Resection Margins after Cholecystectomy: A Challenging Decision Making Process

摘要

<p class=MsoListParagraph style=margin-left:0in;mso-add-space:auto;text-align: justify;mso-mirror-indents:yes> Abstract After cholecystectomy,the presence of dysplasia at resection margins on the cystic duct is rare and evidences lack. A 44-year-old woman underwent a cholecystectomy and <span lang=EN-GB style=font-size:10.0pt;font-family: times= new= roman,serif;mso-fareast-font-family:times= roman;color:black;= mso-themecolor:text1;mso-ansi-language:en-gb;mso-fareast-language:it=>a low-grade dysplasia of the cystic duct with involvement of the resection margin was found. A robot-assisted resection of the cystic duct stump was performed as close as possible to the common bile duct and the patient had an uneventful recovery. The histological examination did not show dysplasia on the proximal resection margin. In our experience, the surgical treatment of low-grade dysplasia on the resection margins after cholecystectomy provided optimal results. Further studies are needed to investigate the role of surgery and follow-up of this uncommon condition.