In a male after laparoscopic cholecystectomy, specimen is sent for histopathology which shows carcinoma gallbladder stage Ib. Appropriate management is
If the patient has undergone laparoscopic cholecystectomy and histology confirmed carcinoma,then staging should be done.All po areas should be re-excised to prevent po site recurrence.Often extended resection of segment lV and lymph nodes may be needed. Reference:SRB's manual of surgery,5th edition,page no:660.
Conservative and follow up
Extended cholecystectomy
Excision of all po sites
Radiotherapy
G.I.T