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Surgery G.I.T e24e09af

Laparoscopic cholecystectomy done in a patient with cholelithiasis. Pathology repo shows adenocarcinoma with invasion of muscular layer. CT was normal. Fuher t/t is

A
Wait and regular follow up
B
Wedge hepatic resection with lymph node dissection
C
Excise all po sites
D
Radiotherapy
High-Yield Explanation
.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

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