title: Multiple port-site metastasis of incidental gallbladder carcinoma after laparoscopic cholecystectomy.
abstract: Laparoscopic cholecystectomy is a surgical procedure of choice for benign gallbladder diseases. In about 1-2% of cases histopathological examination demonstrate incidental gallbladder cancer (GBCA). We report a case of a 61 year old woman who developed port site metastases after laparoscopic cholecystectomy for adenocarcinoma of the gallbladder. Metastases appeared on all four port sites. Review of literature regarding incidental GBCA an port site metastases was also performed. We conclude that the retrieval bag should be routinely used in laparoscopic cholecystectomy; the procedure should be performed with minimal trauma; in cases of incidental GB carcinoma, full thickness excision of the abdominal wall of the port sites demands additional studies; additional liver bed excision and local lymphadenectomy for T1b carcinoma are yet to be considered.
authors.affiliation: The Faculty of medicine, University of Belgrade, Serbia.
authors.forename: Zoran J
authors.initials: ZJ
authors.lastname: Raznatović
authors.forename: Nemanja D
authors.initials: ND
authors.lastname: Zarić
authors.forename: Danijel A
authors.initials: DA
authors.lastname: Galun
authors.forename: Nebojsa S
authors.initials: NS
authors.lastname: Lekić
authors.forename: Marjan
authors.initials: M
authors.lastname: Micev
authors.forename: Vladimir R
authors.initials: VR
authors.lastname: Djordjevic
authors.forename: Ljubomir M
authors.initials: LM
authors.lastname: Djurasic
authors.forename: Mirko D
authors.initials: MD
authors.lastname: Kerkez
mesh_terms: D000230:Adenocarcinoma / Q000556:secondary*; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D005260:Female; D005706:Gallbladder Neoplasms / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D009366:Neoplasm Seeding