Gallbladder carcinoma late metastases and incisional hernia at umbilical port site after laparoscopic cholecystectomy

Ciulla, Antonio and Romeo, Gianfranco and Genova, Gaspare and Tomasello, Giovanni and Agnello, Giuseppe and Castronovo, Gaetano (2006) Gallbladder carcinoma late metastases and incisional hernia at umbilical port site after laparoscopic cholecystectomy. Il giornale di chirurgia, 27 (5). pp. 214-216. ISSN 1971-145x

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Abstract

A potentially serious complication of laparoscopic cholecystectomy is the inadvertent dissemination of unsuspected gallbladder carcinoma. There are increasing reports of seeding of tumor at the trocar sites following laparoscopic cholecystectomy in patients with unexpected or inapparent gallbladder carcinoma. Although the mechanism of the abdominal wall recurrence is still unclear, laparoscopic handling of the tumor, perforation of the gallbladder, and extraction of the specimen without an endobag may be risk factors for the spreading of malignant cells. The Authors report the case of late development of umbilical metastasis after laparoscopic cholecystectomy; the presence of an incisional hernia and the finding of a stone in subcutaneous tissue demonstrate the diffusion of tumor cells into subcutaneous tissue during the extraction of gallbladder. The patient underwent an excision of the metastases. She is disease free two years after surgical treatment.

Item Type:	Article
Uncontrolled Keywords:	Gallbladder carcinoma, Port site metastases; Carcinoma della colecisti, Metastasi nel sito dei trocar
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia
Depositing User:	Chiara D'Arpa
Date Deposited:	11 Jul 2013 14:17
Last Modified:	11 Jul 2013 14:17
URI:	http://eprints.bice.rm.cnr.it/id/eprint/5301

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