Shibata N, Kagotani K, Noguchi S, Tamai M
Department of Surgery, Nishinomiya Municipal Central Hospital, Hyogo, Japan.
Surg Today. 1996;26(12):1014-6. doi: 10.1007/BF00309964.
We herein report a rare case of portsite metastasis of gallbladder carcinoma which occurred after laparoscopic cholecystectomy. A 64-year-old man underwent laparoscopic cholecystectomy at another hospital for symptomatic cholecystolithiasis. The histological examination revealed an adenocarcinoma of the gallbladder infiltrating the entire wall. Despite the physician's advice the patient refused any additional treatment. Thirteen months after surgery he visited our hospital because of a palpable mass at the scar of the right trocar incision. The nodule was removed and histological examination confirmed metastasis from the gallbladder carcinoma.
我们在此报告一例罕见的胆囊癌经腹腔镜胆囊切除术后发生的穿刺孔转移病例。一名64岁男性因有症状的胆囊结石在另一家医院接受了腹腔镜胆囊切除术。组织学检查显示胆囊腺癌浸润全层。尽管医生建议，患者拒绝任何进一步治疗。术后13个月，他因右套管针切口瘢痕处可触及肿块来我院就诊。切除该结节，组织学检查证实为胆囊癌转移。
