This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: G.I.T, Subject name: Surgery
In a male after laparoscopic cholecystectomy, specimen is sent for histopathology which shows carcinoma gallbladder stage Ib. Appropriate management is 
Select and explain. 
A. Conservative and follow up, B. Extended cholecystectomy, C. Excision of all po sites, D. Radiotherapy
C: Excision of all po sites
Answer: C: Excision of all po sites 
Explanation: 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.