Hamila Fehmi, Letaief Rached, Khnissi Majid, Derbel Fethi, Mazhoud Jafar, Ben Ali Ali, Dahmene Younes, Ben Hadj Hamida Ridha
Service de chirurgie générale et digestive. Hôpital universitaire Sahloul, Sousse, Tunisie.
Tunis Med. 2006 Nov;84(11):697-700.
Gallbladder cancer diagnosis is usually at a later stage. Only 1% of gallbladder cancers are discovered fortuitously at infra-clinic stage when histological exam of cholecystectomy specimen. Laparoscopic cholecystectomy was realised for gallbladder lithiasis or polyps. Port site metastasis after laparoscopy was reported. The aim of our study is to report our series of port site metastasis complicating gallbladder cancer discovered fortuitously after laparoscopic cholecystectomy.
From 1 January 1994 to 31 December 2004, 2562 laparoscopic cholecystectomy was carried out. Ten gallbladder cancers were diagnosed than the incidence was 0.39%.
Gallbladder cancer diagnosis was carried out by histology in 8 cases, and when port site metastasis in two cases whereas histological exam of cholecystectomy specimen was negative. Recurrence of gallbladder cancer was in port site in 4 cases. The mean rate survival of patients with port site metastases was 19 months.
胆囊癌的诊断通常处于较晚期。只有1%的胆囊癌在对胆囊切除标本进行组织学检查时于亚临床阶段偶然发现。因胆囊结石或息肉而实施了腹腔镜胆囊切除术。有腹腔镜术后端口部位转移的报道。我们研究的目的是报告我们一系列腹腔镜胆囊切除术后偶然发现的胆囊癌并发端口部位转移的病例。
1994年1月1日至2004年12月31日期间，共进行了2562例腹腔镜胆囊切除术。诊断出10例胆囊癌，发病率为0.39%。
8例通过组织学诊断出胆囊癌，2例端口部位转移时胆囊切除标本的组织学检查为阴性。4例胆囊癌在端口部位复发。有端口部位转移的患者平均生存率为19个月。
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