GALLBLADDER CARCINOMA LATE METASTASES AND INCISIONAL HERNIA AT UMBILICAL PORT SITE AFTER LAPAROSCOPIC CHOLECSTECTOMY

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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.
Lingua originaleItalian
pagine (da-a)214-216
RivistaGIORNALE ITALIANO DI CHIRURGIA
Volume27
Stato di pubblicazionePublished - 2006

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@article{a0d947aa55ac4141bb5ad2f28028b370,
title = "GALLBLADDER CARCINOMA LATE METASTASES AND INCISIONAL HERNIA AT UMBILICAL PORT SITE AFTER LAPAROSCOPIC CHOLECSTECTOMY",
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.",
author = "Giovanni Tomasello and Giuseppe Agnello and Gaspare Genova and Alessandra Ciulla",
year = "2006",
language = "Italian",
volume = "27",
pages = "214--216",
journal = "GIORNALE ITALIANO DI CHIRURGIA",
issn = "0017-0453",

}

TY - JOUR

T1 - GALLBLADDER CARCINOMA LATE METASTASES AND INCISIONAL HERNIA AT UMBILICAL PORT SITE AFTER LAPAROSCOPIC CHOLECSTECTOMY

AU - Tomasello, Giovanni

AU - Agnello, Giuseppe

AU - Genova, Gaspare

AU - Ciulla, Alessandra

PY - 2006

Y1 - 2006

N2 - 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.

AB - 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.

UR - http://hdl.handle.net/10447/20998

M3 - Article

VL - 27

SP - 214

EP - 216

JO - GIORNALE ITALIANO DI CHIRURGIA

JF - GIORNALE ITALIANO DI CHIRURGIA

SN - 0017-0453

ER -