The authors report a case of unsuspected gallbladder cancer during laparoscopic cholecystectomy for cholelithiasis. The histological specimen showed a pT2 carcinoma of the gallbladder. A second look was attempted a month later by laparotomic procedure to obtain more radical surgery. There were multiple liver metastases and peritoneal seeding. The review of the literature also shows a number of similar cases with peritoneal seeding and abdominal wall metastasis through the trocar sides. The authors suggest some diagnostic and technical procedure to prevent abdominal dissemination during laparoscopic surgery.
La colecistectomia videolaparoscopica e il carcinoma della colecisti
ANANIA, Gabriele;
1996
Abstract
The authors report a case of unsuspected gallbladder cancer during laparoscopic cholecystectomy for cholelithiasis. The histological specimen showed a pT2 carcinoma of the gallbladder. A second look was attempted a month later by laparotomic procedure to obtain more radical surgery. There were multiple liver metastases and peritoneal seeding. The review of the literature also shows a number of similar cases with peritoneal seeding and abdominal wall metastasis through the trocar sides. The authors suggest some diagnostic and technical procedure to prevent abdominal dissemination during laparoscopic surgery.File in questo prodotto:
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