隐匿性胆囊癌：腹腔镜胆囊切除术后套管针穿刺部位转移的病例报告

Unsuspected carcinoma of the gall bladder: case report of trocar-site metastasis following laparoscopic cholecystectomy.

作者信息

Principe A, Lugaresi M L, Lords R C, Golfieri R, Gallo M C, Bicchierri I, Polito E, Cavallari A

机构信息

Department of Surgery and Transplantation, University of Bologna, Italy.

出版信息

Hepatogastroenterology. 1997 Jul-Aug;44(16):990-3.

PMID:9261587

Abstract

Cancer of the gall bladder is a rare malignant neoplasm with an unfavourable prognosis. Laparoscopic surgery has brought about the emergence of possible neoplastic diffusion along trocar tracts in cases where unrecognized carcinoma of the gall bladder is present. The authors present a case of neoplastic abdominal diffusion discovered 4 months after laparoscopic cholecystectomy in which histologic examination of the surgical specimen revealed the presence of unrecognized carcinoma of the gall bladder.

摘要

胆囊癌是一种预后不良的罕见恶性肿瘤。在存在未被识别的胆囊癌的情况下，腹腔镜手术可能导致肿瘤沿套管针通道扩散。作者报告了一例在腹腔镜胆囊切除术后4个月发现肿瘤腹腔扩散的病例，手术标本的组织学检查显示存在未被识别的胆囊癌。