Port-site metastasis following laparoscopic cholecystectomy: a review of the literature and a case report
Port-site metastasis following laparoscopic cholecystectomy: a review of the literature and a case report
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DOI：
10.1053/ejso.1999.0750
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发表时间：
2000-02-01
期刊：
影响因子：
--
通讯作者：
Sheridan, WG
中科院分区：
文献类型：
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作者：
Reddy, YP;Sheridan, WG
意外胆囊癌腹腔镜胆囊切除术后的切口转移是一个严重的问题。我们回顾了迄今为止在英文文献中报道的45例此类病例，并增加了另一例发生在一名72岁女性因胆囊结石行腹腔镜胆囊切除术后13个月的病例，该患者也有不明显的胆囊癌。术前诊断胆囊癌的可能性低于10%的情况下，具有高度的怀疑指数。如果在腹腔镜检查中发现，建议早期转为开放手术。然而，如果诊断较晚，根据组织病理学考虑进一步的根治性手术，将是不明智的，因为增加了相关的发病率和死亡率。在这种情况下，治愈的前景也很不现实。(C)2000年哈考特出版社有限公司
Port-site metastasis following laparoscopic cholecystectomy with unsuspected gallbladder carcinoma is a serious problem. We reviewed 45 such cases reported in the English literature to date, and add another case which occurred in a 72-year-old female 13 months after a laparoscopic cholecystectomy for gallstones, who also had an unapparent gallbladder carcinoma. Pre-operative diagnosis of gallbladder carcinoma is possible in less than 10% of cases, with a high index of suspicion. If detected during laparoscopy early conversion to open procedure is recommended. If diagnosed later, however, to contemplate further radical operation depending on histopathology, would be unwise as a universal approach, because of increased associated morbidity and mortality. The prospect of cure is also very unrealistic in this condition. (C) 2000 Harcourt Publishers Ltd.