Portsite and intraabdominal metastases of unsuspected gallbladder carcinoma after laparoscopic cholecystectomy: Report of a case

Shibata, Nobuhiro; Kagotani, K; Noguchi, Sadao; Tamai, Masamitsu

doi:10.1007/bf00309964

Cited by 4 publications

(1 citation statement)

References 11 publications

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“…Later, 70 (17.1%) of these patients developed at least one port site recurrence. Most of them occur rather early, within the first six postoperative months, although TSM occuring 13 (26) or 24 (60) months after the initial procedure are described. The extraction site is nearly always involved but in a few cases tumour implants at remote trocar sites were the only localisations.…”

Section: Trocar Site Recurrences After Laparoscopic Cholecystectomymentioning

confidence: 95%

Port Site Metastases: Where are we at the Beginning of the 21st Century ?

Hubens

2002

Acta Chirurgica Belgica

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Following the introduction of minimal invasive surgery in the field of malignant disease, a number of reports have been published describing the occurrence of tumour deposits in the abdominal or thoracic wall at the sites of trocar placement. These trocar site metastases have caused great concern among minimal invasive surgeons and have put an important restraint on the rapid development of these techniques in oncologic surgery. The present review article focuses on the clinical facts and experimental studies that have been conducted on the problem of port site metastases, more specifically upon their occurrence and pathogenesis. Although most of the port site recurrences are due to technical surgical problems and can be avoided by adapting the same oncologic surgical principles as in open surgery, some features of the minimal invasive techniques facilitate tumour growth and should be kept in mind when performing minimum invasive surgery for malignancy.

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Section: Trocar Site Recurrences After Laparoscopic Cholecystectomymentioning

confidence: 95%

Port Site Metastases: Where are we at the Beginning of the 21st Century ?

Hubens

2002

Acta Chirurgica Belgica

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Paolucci

2001

J Hep Bil Pancr Surg

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Port site metastasis is a well-documented event after laparoscopic procedures in cancer patients. We summarize current epidemiological knowledge about the risk of this complication after laparoscopic/conventional cholecystectomy in patients with unexpected gallbladder cancer as well as other intraabdominal malignancies. We found 174 cases of port site metastasis after laparoscopic cholecystectomy and 12 recurrences in the surgical scar after converted or open cholecystectomy. A review of all case reports and its comparison with four international surveys show a 14% incidence of port site metastases 7 months after laparoscopic cholecystectomy for cancer. Similar numbers are available for open cholecystectomy. Our data suggest that abdominal wall metastases of gallbladder cancer are not a specific complication of laparoscopy. The long-term prognosis of patients with unknown gallbladder cancer however seems to be worsened by laparoscopy. The registry of the German Society of Surgery, which prospectively compares follow-up and prognosis of all cases of cholecystectomy, laparoscopic as well as open, in patients with incidental gallbladder cancer will definitively clarify whether laparoscopy affects the prognosis of patients with unsuspected gallbladder cancer.

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Sarli¹,

Costi²,

Pietra³

et al. 1999

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Early peritoneal seeding and trocar site metastasis from gallbladder cancer have been reported after laparoscopic cholecystectomy. Nevertheless, the role of laparoscopy in gallbladder cancer remains controversial. Two cases of early recurrence of carcinoma of the gallbladder after laparoscopic cholecystectomy are described. In the first case, the use of a gasless technique did not prevent an early, diffuse peritoneal dissemination of the disease. In the second case, despite the use of a retrieval bag to extract the gallbladder, multiple metastases around the gallbladder bed and local peritoneal seeding developed. These cases demonstrate that factors other than bile spillage, CO2 inflation, and the use of a retrieval bag are responsible for early dissemination of gallbladder cancer.

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Portsite and intraabdominal metastases of unsuspected gallbladder carcinoma after laparoscopic cholecystectomy: Report of a case

Cited by 4 publications

References 11 publications

Port Site Metastases: Where are we at the Beginning of the 21st Century ?

Port Site Metastases: Where are we at the Beginning of the 21st Century ?

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