Gallbladder cancer: unkown reality in Colombia. Mederi Hospital experience 2013–2015

Introduction: Gallbladder cancer is a lethal disease which is no well studied in Colombia. The main purpose of this study is to analyze gallbladder cancer incidence in Mederi Hospital. Method: This descriptive and retrospective study analyzes gallbladder cancer cases from September 2013 to July 2015. Inclusion criteria: patients with radiologic findings of gallbladder cancer and those who underwent for a curative resection. Results: From September 2013 to July 2015, 19 patients underwent for intent of curative resection. 13 out 19 were resectable. The median age was 65.6 years old. 27% were male and 73% were women. Pain was present on 58,8%. Jaundice was present on 78%. Cholecystits on 15,6%, cholelithiasis on 29,41%. Liver metastases were found on 34 patients at the moment of the diagnosis. Radical cholecystectomy was the procedure on 13 patients. Postoperative care in ICU was 0, 73 days. Morbidity 30–60 days was 2% and post operative mortality rate was 0%. Adenocarcinoma was the most frequent pathology. Analysis: Gallbladder cancer is a complex pathology not well studied in Colombia. The experience after 24 months reported 51 cases and only 19 underwent for surgery and only 13 were resectable Multidisciplinary team was the key to have acceptable morbidity and mortality. Conclusions: Gallbladder cancer needs more attention on Colombia's public Health. Our small serie is significant on terms of the number of cases in a short period of time.