Document Detail

Trocar site seeding of inapparent gallbladder carcinoma during laparoscopic cholecystectomy.
MedLine Citation:
PMID:  8919176     Owner:  NLM     Status:  MEDLINE    
There are increasing reports of seeding of tumor at the trocar sites following laparoscopic cholecystectomy in patients with unexpected or inapparent gallbladder carcinoma. A patient is reported here whose primary tumor appeared controlled by surgery and radiation, but who died of the disease after developing implant metastases at three untreated trocar sites. The second case report illustrates the difficulty in identifying gallbladder cancer during laparoscopic cholecystectomy, and the importance of a diligent preoperative effort to establish the diagnosis. Current literature suggests that tumor implantation occurring during laparoscopic cholecystectomy for inapparent carcinoma adversely affects prognosis, and, until the effect of laparoscopy on the spread of this tumor is better understood and controlled, open operation should be performed when carcinoma of the gallbladder is suspected. When laparoscopic cholecystectomy is done for inapparent gallbladder cancer, surgical and adjuvant radiotherapy to the trocar sites appears to improve outcome in association with extended treatment to the gallbladder bed and adjacent areas. Recent reports suggest that progress in diagnostic, surgical, and adjuvant techniques could substantially improve survival in carcinoma of the gallbladder.
A M Cotlar; C R Mueller; J W Pettit; E R Schmidt; H V Villar
Related Documents :
20950226 - Hypofractionated adjuvant whole breast radiotherapy: progress and prospects.
21853426 - Papillary squamous cell carcinoma of the larynx.
18556186 - Acute toxicity and 2-year adverse effects of 30 gy in five fractions over 15 days to wh...
22291166 - Automatic classification of mammography reports by bi-rads breast tissue composition cl...
17444856 - Methylation of ras association domain family protein 1, isoform a correlated with proli...
7011526 - Estimated benefits and risks of screening for breast cancer.
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of laparoendoscopic surgery     Volume:  6     ISSN:  1052-3901     ISO Abbreviation:  J Laparoendosc Surg     Publication Date:  1996 Feb 
Date Detail:
Created Date:  1997-03-19     Completed Date:  1997-03-19     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9109598     Medline TA:  J Laparoendosc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  35-45     Citation Subset:  IM    
Department of Surgery, Davis-Monthan Air Force Base, Arizona, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Adenocarcinoma / pathology,  surgery*
Aged, 80 and over
Cholecystectomy, Laparoscopic / instrumentation*
Cholelithiasis / pathology,  surgery*
Fatal Outcome
Gallbladder / pathology
Gallbladder Neoplasms / pathology,  surgery*
Middle Aged
Neoplasm Recurrence, Local / pathology,  surgery
Neoplasm Seeding*
Postoperative Complications / pathology,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Laparoscopic treatment of hepatic hydatid disease.
Next Document:  Blunt preperitoneal finger dissection during extraperitoneal laparoscopic inguinal hernia repair: an...