Baer H U, Metzger A, Glättli A, Klaiber C, Ruchti C, Czerniak A
Department of Visceral and Transplantation Surgery, University of Bern, Inselspital, Switzerland.
Surg Laparosc Endosc. 1995 Feb;5(1):59-63.
The frequency of gallbladder carcinoma is 1.2 to 7.4% of all cholecystectomy specimens. In open cholecystectomy for gallstone disease, undetected gallbladder carcinoma is found postoperatively in the histological examination in 0.3%. Tumor cells of these clinically inapparent gallbladder carcinomas can be implanted at the trocar sites during laparoscopic cholecystectomies. We report a case with subcutaneous tumor seeding at the navel trocar insertion site in a 65-year-old woman.
胆囊癌在所有胆囊切除标本中的发生率为1.2%至7.4%。在因胆结石疾病行开腹胆囊切除术时，术后组织学检查发现未被检测出的胆囊癌的比例为0.3%。这些临床上隐匿的胆囊癌的肿瘤细胞可在腹腔镜胆囊切除术期间种植于套管针穿刺部位。我们报告一例65岁女性患者，其脐部套管针穿刺部位出现皮下肿瘤种植。
