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- Title
Multiple port-site metastasis of incidental gallbladder carcinoma after laparoscopic cholecystectomy.
- Authors
Ražnatović, Zoran J.; Zarić, Nemanja D.; Galun, Danijel A.; Lekić, Nebojša S.; Micev, Marjan; Djordjevic, Vladimir R.; Djurašic, Ljubomir M.; Kerkez, Mirko D.
- Abstract
Laparoscopic cholecystectomy is a surgical procedure of choice for benign gallbladder diseases. In about 1-2% of cases histopathological examinaon demonstrate incidental gallbladder cancer GBCA). We report a case of a 61 year old woman ho 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.
- Subjects
CHOLECYSTECTOMY; LAPAROSCOPIC surgery; GALLBLADDER surgery; GALLBLADDER cancer
- Publication
Acta Chirurgica Iugoslavica, 2012, Vol 59, Issue 1, p105
- ISSN
0354-950X
- Publication type
Case Study
- DOI
10.2298/ACI1201105R