Abstract
Background
We present our experience with intra-abdominal malignancies different from gallbladder cancer not diagnosed preoperatively and undiscovered during laparoscopic cholecystectomy
Methods
This study involved retrospective analysis of 10 patients hospitalized in the Second Department of General Surgery between 1993 and 2000. In all of them, laparoscopic cholecystectomy had been performed between one week and 21 months earlier.
Results
Primary or metastatic neoplasms were diagnosed in five men and five women patients ages 38 to 79 years. In three patients with colorectal cancer, a radical resection was possible. Nonresectable pancreatic cancer was found in three patients. In one of two patients with gastric cancer, palliative, distal gastrectomy was performed. In a patient who had small bowel cancer with metastasis to the ovary, a radical operation was possible. In one patient, liver metastasis from lung cancer was found.
Conclusions
In patients with atypical symptoms of gall-bladder lithiasis, a thorough workup before laparoscopic cholecystectomy should be performed. During the laparoscopic procedure, a detailed examination of the whole peritoneal cavity is essential. In cases of prolonged convalescence after laparoscopic cholecystectomy, a source of symptoms different from cholelithiasis should be suspected.
Similar content being viewed by others
References
Caglikulekci M, Yilmaz S, Kayaalp C, Savkilioglu M (1997) Malignant tumors overlooked at laparoscopic cholecystectomy. Euroasian Congress of Endoscopic Surgery, Istanbul, June, Abstract Book, 112
Catheline JM, Turner R, Rizk N, Barat C, Champoult G (1999) The use of diagnostic laparoscopy supported by laparoscopic ultrasonography in the assessment of pancreatic cancer. Surg Endosc 13: 239–245
Denning DA, Lipshy KA (1996) Missed pathology following laparoscopic cholecystectomy: a cause for concern? Am J Surg 61: 117–120
Gal O, Szivos J, Jaberansari MT, Szabo Z (1998) Laparoscopic cholecystectomy: risk of missed pathology of other organs. Surg Endosc 12: 825–827
Gracie WA, Ransohoff DF (1982) The natural history of silent gall-stones. N Engl J Med 307: 798–800
Hamaloglu E, Yorganci K, Oner Z, Sayek I (1999) Missed malignancies during laparoscopic cholecystectomy. Hepatogastroenterology 46: 126–129
Hanney RM, Bond G, de Costa A (1997) Laparoscopic cholecystectomy: the missed diagnosis. Aust N Z J Surg 67: 166–167
Heaton KW, Braddon FE, Mountford RA, Hughes AO, Emmett P (1991) Symptomatic and silent gallstones in the community. Gut 32: 316–320
Junger W, Junger WG, Hutter J, Miller K, Moritz E (1997) Delayed diagnosis of malignant tumors missed at laparoscopic cholecystectomy. Surg Endosc 11: 1010–1012
Juźków H, Jackowski M, Jędrzejczyk W, Szeliga J, Załucki M, Kadłubowski A (1997) Nowotwory przewodu pokarmowego nierozpoznane podczas operacji laparoskopowych: błąd postępowania czy ryzyko metody. Pol Przeg Chir 69: 1028–1032
Lundberg O, Kristofferson (1999) A port-site metastases from gall-bladder cancer after laparoscopic cholecystectomy: results of Swedish survey and review of published reports. Eur J Surg 165: 215–222
Kalaciński J, Ziaja K, Frączek J (1997) Przeoczone nowotwory jamy brzusznej w czasie cholecystektomii laparoskopowej: analiza materiału. Wiad Lek Supl 1: 246–249
McLouchlan GJ, MacIntyre IM (1995) Return to work after laparoscopic cholecystectomy. Br J Surg 82: 239–241
O’Hanlon DM, Doyle JP, Kerin MJ, Flynn JR, O’Donoghue JM (1994) Laparoscopic cholecystectomy: potential for missed pathology. Ann R Col Surg Eng 76: 315–316
Olsen AK, Bierkeset OA (1999) Laparoscopic ultrasound (LUS) in gastrointestinal surgery. Eur J Ultrasound 10: 159–170
Schaeff B, Paolucci V, Thomopoulos J (1998) Port-site recurrences after laparoscopic surgery. Dig Surg 15: 124–134
Sharp EJ, Springall RG, Theodorou NA (1994) Delayed diagnosis of malignant tumors missed at laparoscopic cholecystectomy. Br J Surg 81: 1649–1650
Slim K, Pezet D, Clark E, Chipponi J (1996) Malignant tumors missed at laparoscopic cholecystectomy. Am J Surg 171: 364–365
Vitale GC, Collet D, Larson GM, Cheadle WG, Miller FB, Perissat J (1991) Interruption of professional and home activity after laparoscopic cholecystectomy among French and American patients. Eur J Ultrasound 161: 396–398
Wysocki A, Bobrzyński A, Krzywoń J, Budzyński A (1999) Laparoscopic cholecystectomy and gallbladder cancer. Surg Endosc 13: 899–901
Author information
Authors and Affiliations
Additional information
Online publication: 12 June 2001
Rights and permissions
About this article
Cite this article
Wysocki, A., Lejman, W. & Bobrzynski, A. Abdominal malignancies missed during laparoscopic cholecystectomy. Surg Endosc 15, 959–961 (2001). https://doi.org/10.1007/s004640090022
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/s004640090022