Johnson R C, Fligelstone L J, Wheeler M H, Horgan K, Maughan T S
Department of Surgery, University of Wales College of Medicine, Heath Park, Cardiff.
HPB Surg. 1997;10(3):169-71. doi: 10.1155/1997/60975.
A case report is presented of intra-mural gallbladder carcinoma discovered incidentally after laparoscopic cholecystectomy who subsequently developed abdominal wall recurrence at the epigastric exit port, and axillary lymph node metastases. Possible preventative steps for tumour dissemination and a management plan if incidental carcinoma is diagnosed is discussed. The use of a non-porous retrieval bag, early recognition of the carcinoma and excision of the exit wound are advocated.
本文报告一例腹腔镜胆囊切除术后偶然发现的壁内胆囊癌病例，该患者随后出现上腹部出口端口腹壁复发及腋窝淋巴结转移。讨论了肿瘤播散的可能预防措施以及诊断为偶然癌时的处理方案。提倡使用无孔取出袋、早期识别癌症并切除出口伤口。
