Port site recurrence of unexpected gallbladder carcinoma after a laparoscopic cholecystectomy: Report of a case |
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Authors: | Yasushi Ohmura Nobuji Yokoyama Minoru Tanada Wataru Takiyama Shigemitsu Takashima |
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Institution: | (1) Department of Surgery, National Shikoku Cancer Center Hospital, 13 Horinouchi, 790 Matsuyama, Japan;(2) Present address: Department of Surgery II, Okayama University School of Medicine, 2-5-1 Shikata-cho, 700-0914 Okayama-city, Okayama, Japan |
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Abstract: | Unexpected gallbladder carcinoma was identified in a 71-year-old woman after she underwent a laparoscopic cholecystectomy
(LC) for symptomatic cholelithiasis. A subsequent laparotomy for a resection of the liver bed and a dissection of the lymph
nodes around the hepatoduodenal ligament was done. Two and a half years later, the patient developed subcutaneous metastasis
at the epigastric trocar site through which the gallbladder was removed. A third operation was thus performed, revealing no
evidence of peritoneal dissemination, liver metastasis, or lymph node metastasis, and the abdominal wall mass was resected.
The histological findings confirmed the diagnosis of metastatic carcinoma of the gallbladder. We recommend that when planning
LC, the possibility of malignancy should thus be kept in mind. However, if there is any sign which does not completely exclude
malignancy, such as a contracture or wall thickness of the gallbladder, LC should be performed by the abdominal wall lifting
method and using a protective bag for the removal of the gallbladder. |
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Keywords: | laparoscopic cholecystectomy gallbladder carcinoma tumor seeding port site recurrence |
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