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Journal of Hepato-Biliary-Pancreatic Surgery

, Volume 9, Issue 4, pp 511–514 | Cite as

Unexpected bile duct carcinoma presenting with port-site metastasis after laparoscopic cholecystectomy for cholecystolithiasis

  • Naoaki Sakata
  • Masanori Suzuki
  • Kazuhiko Shibuya
  • Kazunori Takeda
  • Seiki Matsuno
Case reports of interest

Abstract.

On March 1, 1999, a 71-year-old woman was diagnosed as having cholecystolithiasis, for which she underwent laparoscopic cholecystectomy at a local hospital. Intraoperative cholangiography was not performed. No malignant lesion was detected in the gallbladder. In March 2000, a subcutaneous tumor was pointed out at the port site in her abdomen, and resected. Histological examination revealed metastatic adenocarcinoma. On detailed examination, endoscopic retrograde cholangiopancreatography (ERCP) revealed a tumor, about 2 cm in diameter, in the lower bile duct. On June 1, she underwent pylorus-preserving pancreatoduodenectomy at our institute, and several disseminated lesions were detected at the port site and in the abdominal cavity. There have been few reports of bile duct carcinoma that developed peritoneal dissemination caused by leakage of bile during cholecystectomy. Leakage of bile should be prevented during laparoscopic cholecystectomy, even in patients not diagnosed as having cancer preoperatively.

Key words Bile duct carcinoma Port site metastasis Laparoscopic surgery 

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Copyright information

© Springer-Verlag Tokyo 2002

Authors and Affiliations

  • Naoaki Sakata
    • 1
  • Masanori Suzuki
    • 1
  • Kazuhiko Shibuya
    • 1
  • Kazunori Takeda
    • 1
  • Seiki Matsuno
    • 1
  1. 1.Department of Surgery, Division of Gastroenterological Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574 Sendai, Miyagi, JapanJP

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