Multiple port-site metastasis of incidental gallbladder carcinoma after laparoscopic cholecystectomy.
Acta Chir Iugosl
; 59(1): 105-9, 2012.
Article
em En
| MEDLINE
| ID: mdl-22924314
ABSTRACT
Laparoscopic cholecystectomy is a surgical procedure of choice for benign gallbladder diseases. In about 1-2% of cases histopathological examination demonstrate incidental gallbladder cancer (GBCA). We report a case of a 61 year old woman who developed port site metastases after laparoscopic cholecystectomy for adenocarcinoma of the gallbladder. Metastases appeared on all four port sites. Review of literature regarding incidental GBCA an port site metastases was also performed. We conclude that the retrieval bag should be routinely used in laparoscopic cholecystectomy; the procedure should be performed with minimal trauma; in cases of incidental GB carcinoma, full thickness excision of the abdominal wall of the port sites demands additional studies; additional liver bed excision and local lymphadenectomy for T1b carcinoma are yet to be considered.
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Base de dados:
MEDLINE
Assunto principal:
Adenocarcinoma
/
Colecistectomia Laparoscópica
/
Neoplasias da Vesícula Biliar
/
Inoculação de Neoplasia
Limite:
Female
/
Humans
/
Middle aged
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article