Abstract
Laparoscopic cholecystectomy is the treatment of choice for gallstones. A formal contraindication is gallbladder cancer. However, in a great number of cases, this is a previously unsuspected intraoperative finding, and sometimes its first appearance is in acute cholecystitis. We present the case of 67-year-old woman, which presented an unsuspected carcinoma of the gallbladder that developed abdominal wall implants at the umbilical and left hypocondrium site. The success of LC favors the observation of cases similar to that described in this article. Surgeons who operate using laparoscopic techniques should bear this possibility in mind and practice an extemporaneous biopsy at the slightest suspicion of malignancy, and, if it is confirmed, the operation should be continued as an open one.
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References
Airan M, Appel M, Berci G, Coburg AS, Cohen M, Cuschieri A, Dent T, Duppler D, Easter D, Green F, et al (1992) Retrospective and prospective multi-institutional laparoscopic cholecystectomy study organized by the Society of American Gastrointestinal Endoscopic Surgeons. Surg Endosc 6: 169–176
Barsoum GH, Windsor CWO (1992) Parietal seeding of carcinoma of the gallbladder after laparoscopic cholecystectomy (letter). Br J Surg 79: 846
Drouard F, Delamarre J, Capron JP (1991) Cutaneous seeding of gallbladder cancer after laparoscopic cholecystectomy. New Engl J Med 324: 1253–1258
Frazee RC, Roberts JW, Symmonds R, Snyder SK, Hendricks J, Smith R, Custer MD (1992) What are the contraindications for laparoscopic cholecystectomy? Am J Surg 164: 491–495
Gornish AL, Auerbach D, Schwartz MR (1991) Carcinoma of the gallbladder found during laparoscopic cholecystectomy: a case report and review of the literature. J Laparoendosc Surg 1: 361–367
Paraskevopoulos JA, Pechlivanides G (1992) Parietal seeding of carcinoma of the gallbladder after laparoscopic cholecystectomy (letter). Br J Surg 79: 845
Pezet D, Fondrinier E, Rotman N, Guy L, Lemesle P, Lointiel P, Chipponi J (1992) Parietal seeding of carcinoma of the gallbladder after laparoscopic cholecystectomy. Br J Surg 79: 230
Rothenberg RE, LaRaja RD, McCoy, Pryce EH (1991) Elective cholecystectomy and carcinoma of the gallbladder. Am Surg 57: 306–308
Tsuchiya Y (1991) Early carcinoma of the gallbladder: macroscopic features and US findings. Radiology 179: 171–175
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Targarona, E.M., Pons, M.J., Viella, P. et al. Unsuspected carcinoma of the gallbladder. Surg Endosc 8, 211–213 (1994). https://doi.org/10.1007/BF00591833
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DOI: https://doi.org/10.1007/BF00591833