Abstract
We report a case of peritoneal seeding of an unsuspected adenocarcinoma of the gallbladder following laparoscopic cholecystectomy despite the use of a retrieval bag. The metastasis developed at the umbilical trocar site, which was also used to extract the resected gallbladder. There was no evidence for a leak of the retrieval bag. Most likely malignant cells became desquamated during the operation, implanting themselves in the tissue during the removal of the bag. Taking into consideration previous reports and the dismal prognosis of the disease, we discuss the management in the case of an incidental carcinoma.
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Burdette WJ (1957) Cancer of the gallbladder. Ann Surg 145: 832–837
Clair DG, Lautz DB, Brooks DC (1993) Rapid development of umbilical metastases after laparoscopic cholecystectomy for unsuspected gallbladder carcinoma. Surgery 113(3): 355–358
Drouard F, Delamarre J, Capron JP (1991) Cutaneous seeding of gallbladder cancer after laparoscopic cholecystectomy. N Engl J Med 325(18): 1316
Fleischer GM, Dittrich S (1992) Therapie und Prognose des Gallenblasenkarzinoms. Zentralbl Chir 117: 81
Fong Y, Brennan MF, Turnbull A, Colt DG, Blumgart LH (1993) Gallbladder cancer discovered during laparoscopic surgery. Potential for iatrogenic tumor dissemination. Arch Surg 128(9): 1054–1056
Fuchs KH, Freys SM, Heimbucher J, Thiede A (1992) Laparoskopische Cholecystektomie—Lohnt sich die laparoskopische Technik in “schwierigen Fällen”? Chirurg 63: 296–304
Gornish AL, Averbach D, Schwartz MR (1991) Carcinoma of the gallbladder found during laparoscopic cholecystectomy: a case report and review of the literature. J Laparoendosc Surg 1(6): 361–367
Jatzko G, Lisborg P, Horn M, Dinges HP (1994) Bauchdecken-implantationsmetastase zwei Jahre nach scheinbar unauffälliger laparoskopischer Cholecystektomie. Chirurg 65: 812–814
Keβler T, Mihaljevic L (1994) Implantationsmetastase eines Gallenblasencarcinoms am Nabel nach laparoskopischer Cholecystektomie. Chirurg 65: 564–565
Köckerling F, Scheele J, Gall FP (1988) Die chirurgische Therapie des Gallenblasencarcinoms. Chirurg 59: 236
Nally C, Preshaw RM (1994) Tumour implantation at umbilicus after laparoscopic cholecystectomy for unsuspected gallbladder carcinoma. Can J Surg 37(3): 243–244
Pezet D, Fondrinier E, Rotman N, Guy L, Lemesle P, Lointier P, Chipponi J (1992) Parietal seeding of carcinoma of the gallbladder after laparoscopic cholecystectomy. Br J Surg 79: 230
Silk YN, Douglass HO, Nava HR, Driscoll DL, Tartarian G (1989) Carcinoma of the gallbladder. The Roswell Park Experience. Ann Surg 210: 751–755
Targarona EM, Pons MJ, Viella P, Trias M (1994) Unsuspected carcinoma of the gallbladder. A laparoscopic dilemma. Surg Endosc 8: 211–213
Weiss SM, Wengert PA, Harkavy SE (1994) Incisional recurrence of gallbladder cancer after laparoscopic cholecystectomy. Gastrointest Endosc 40: 244–246
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Sailer, M., Debus, S., Fuchs, K.H. et al. Peritoneal seeding of gallbladder cancer after laparoscopic cholecystectomy. Surg Endosc 9, 1298–1300 (1995). https://doi.org/10.1007/BF00190164
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DOI: https://doi.org/10.1007/BF00190164