Sailer M, Debus S, Fuchs K H, Thiede A
Department of Surgery, University of Würzburg, Germany.
Surg Endosc. 1995 Dec;9(12):1298-300. doi: 10.1007/BF00190164.
We report a case of peritoneal seeding of an unsuspected adenocarcinoma of the gallbladder following laparoscopic cholecystectomy despite the use of a retrieval bag. The metastasis developed at the umbilical trocar site, which was also used to extract the resected gallbladder. There was no evidence foe a leak of the retrieval bag. Most likely malignant cells became desquamated during the operation, implanting themselves in the tissue during the removal of the bag. Taking into consideration previous reports and the dismal prognosis of the disease, we discuss the management in the case of an incidental carcinoma.
我们报告一例腹腔镜胆囊切除术后发生意外胆囊腺癌腹膜种植的病例，尽管使用了取物袋。转移灶发生在脐部套管针穿刺部位，该部位也用于取出切除的胆囊。没有证据表明取物袋有渗漏。很可能是恶性细胞在手术过程中脱落，在取出袋子时植入组织中。考虑到既往报道及该疾病的不良预后，我们讨论了偶然发现的癌症的处理方法。
