Laparoscopic cholecystectomy done in a patient with cholelithiasis. Pathology repo shows adenocarcinoma with invasion of muscular layer. CT was normal. Fuher t/t is
.HEPATIC RESECTION (Indications) * Parasitic and non-parasitic cysts. * Benign and primary malignant tumours of the liver. * Secondary tumour that involves by direct extension like from carcinoma of gallbladder or limited secondaries from carcinoma colon/carcinoids. * Trauma to liver.Removal of small poion of liver either within the segment or traversing segments is called as wedge resection of the liver. ref : SRB&;s manual of surgery,3 rd ed,pg no 559
G.I.T
Wait and regular follow up
Wedge hepatic resection with lymph node dissection
Excise all po sites
Radiotherapy
Wedge hepatic resection with lymph node dissection