Click it: do not risk it: lap seat belt causing extensive abdominal injuries

manipulation of a pancreatic tumour was unlikely, the procedure could facilitate tumour dissemination by retroperitoneal dissection and exposure of the pancreatic head. Injury to the peritoneum could also promote tumour proliferation through the formation of blood clots with fibrin that can trap intraperitoneal-free cancer cells, or through the formation of inflammatory, growth and angiogenic factors. Although not proven histologically, the anastomotic stenosis may have been due to the implantation of cancer cells into the anastomotic site. Other potential mechanisms for tumour seeding have been proposed, such as an effect of carbon dioxide, pneumoperitoneum or aerosolization of tumour cells, but these mechanisms remain unproven.