Jatzko G, Lisborg P, Horn M, Dinges H P
Chirurgische Abteilung, Krankenhaus der Barmherzigen Brüder St. Veit/Glan.
Chirurg. 1994 Sep;65(9):812-4.
An extraordinary rare case of implant metastasis at the laparoscopic working port, two years after an apparent uncomplicated laparoscopic cholecystectomy is presented. The histological reexamination of the gallbladder with the detection of a minimal carcinomatous lymphangiosis in newly prepared sections, the exclusion of other primary tumors and also the tumor-free interval of six months until now, after radical excision of the abdominal wall, are strongly suggestive for an intraoperative tumor cell dissemination into the abdominal wall by a histologically unrecognized carcinoma of the gallbladder.
本文报告了一例极为罕见的病例，患者在看似简单的腹腔镜胆囊切除术后两年，腹腔镜手术操作端口出现种植转移。对胆囊进行组织学复查时，在新制备的切片中发现了微小的癌性淋巴管浸润，排除了其他原发性肿瘤，并且在腹壁根治性切除术后至今已有六个月的无瘤间期，这些强烈提示术中胆囊癌组织学未识别的癌细胞播散至腹壁。
