title: A recurrent case of an early gallbladder carcinoma after laparoscopic cholecystectomy.
abstract: A 71-year-old woman diagnosed with gallstones and chronic cholecystitis was admitted to our hospital in October 1997, and laparoscopic cholecystectomy was performed. After the operation, early gallbladder carcinoma, which had superficially spread to the whole gallbladder restricted to mucosa (pT1a) by histology, was identified. Six weeks later, liver bed resection, bile duct dissection and regional lymph node dissection were performed. Histological examination revealed that cancer cells had been microscopically disseminated to the hepatoduodenal ligament and invaded into the lymphatic vessels. The postoperative course was uneventful. She died of peritoneal recurrence of her gallbladder cancer 14 months after the second operation.
authors.affiliation: Department of Gastroenterological Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
authors.forename: Tomohide
authors.initials: T
authors.lastname: Sano
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Ajiki
authors.forename: Kenro
authors.initials: K
authors.lastname: Hirata
authors.forename: Taro
authors.initials: T
authors.lastname: Okazaki
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Fujino
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Suzuki
authors.forename: Yoshifumi
authors.initials: Y
authors.lastname: Takeyama
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Kuroda
authors.forename: Hirohiko
authors.initials: H
authors.lastname: Onoyama
mesh_terms: D000368:Aged; D017081:Cholecystectomy, Laparoscopic; D005260:Female; D005706:Gallbladder Neoplasms / Q000473:pathology / Q000601:surgery*; D006801:Humans; D009364:Neoplasm Recurrence, Local; D009367:Neoplasm Staging