Laparoscopic Cholecystectomy: Incidental Carcinoma of the Gallbladder with Abdominal Wall and Axillary Node Metastasis
Author(s) -
Richard C. Johnson,
Louis Fligelstone,
Malcolm H. Wheeler,
Kieran Horgan,
Tim Maughan
Publication year - 1997
Publication title -
hpb surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.561
H-Index - 26
eISSN - 1607-8462
pISSN - 0894-8569
DOI - 10.1155/1997/60975
Subject(s) - medicine , gallbladder , carcinoma , laparoscopic cholecystectomy , general surgery , cholecystectomy , abdominal wall , lymph node metastasis , lymph node , metastasis , surgery , radiology , cancer
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.
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