Trocar-site metastasis following laparoscopic cholecystectomy for unsuspected carcinoma of the gallbladder. Case report and review of the literature.
Fifteen cases of trocar-size metastasis from unsuspected gallbladder carcinoma following laparoscopic cholecystectomy have been reported in the literature. We present the case of a 66-year-old woman who developed this complication 21/2 months postoperatively. We feel that carcinoma of the gallbladder is a contraindication to laparoscopic cholecystectomy. When unsuspected lesions are discovered, intraoperative frozen-section lesions will facilitate the surgical management.
Copher
J C
JC
Department of Surgery, Mercer University School of Medicine/Medical Center of Central Georgia, Macon 31201, USA.
Rogers
J J
JJ
Dalton
M L
ML
D000008:Abdominal Neoplasms / Q000556:secondary*; D000230:Adenocarcinoma / Q000556:secondary* / Q000601:surgery*; D000368:Aged; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D000075202:Contraindications; D005260:Female; D005706:Gallbladder Neoplasms / Q000601:surgery*; D006801:Humans; D009366:Neoplasm Seeding; D014472:Umbilicus