Kaczmarek D, Blanc P, Balique J G, Porcheron J
Service de chirurgie générale, hôpital Bellevue, CHU, 42055 Saint-Etienne, France.
Ann Chir. 2001 Sep;126(7):677-9. doi: 10.1016/s0003-3944(01)00576-4.
Gastro-intestinal stromal tumors are rare and their evolution is dubious. This observation of port site metastasis after laparoscopic resection of a small duodenal stromal tumor would be, to our knowledge, the first case reported in the literature. Several direct and indirect mechanisms were supposed to be involved in the appearance of metastases after laparoscopic surgery, but the risk of dissemination remains badly evaluated on its frequency as well as on its mechanisms.
胃肠道间质瘤较为罕见,其演变情况尚不明确。据我们所知,本文报道的这例腹腔镜切除十二指肠小间质瘤后出现切口转移的病例,是文献中首例报道。腹腔镜手术后转移灶的出现可能涉及多种直接和间接机制,但目前对于转移风险在发生频率和机制方面的评估仍不充分。