Tan Y M, Lim D T H
Department of Surgery, Singapore General Hospital, Outram Road, Singapore 169608.
Singapore Med J. 2002 Dec;43(12):637-9.
The occurrence of port site metastasis after laparoscopic cholecystectomy for an incidental gallbladder carcinoma is well-documented but the underlying aetiology is not clear. Several mechanisms including tumour implantation to the effects of carbon dioxide usage have been implicated. Here, we describe an unusual case of a late port site recurrence in a 60-year-old woman where a gallstone was found embedded within the heart of the recurrence. We critically review the basic and clinical evidence that contributes to the pathophysiology of this phenomenon and the surgical strategies employed.
腹腔镜胆囊切除术治疗意外胆囊癌后发生切口种植转移已有充分文献记载，但潜在病因尚不清楚。包括肿瘤种植到二氧化碳使用的影响等多种机制都被认为与之有关。在此，我们描述了一例60岁女性发生迟发性切口复发的罕见病例，在复发灶核心部位发现一枚胆结石。我们严格审查了有助于解释这一现象病理生理学的基础和临床证据以及所采用的手术策略。
