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Implante tumoral em sítio de trocarte após colecistectomia laparoscópica / Trocar-site metastasis following laparoscopic cholecystectomy
Coelho, Júlio Cezar Uili; Nigro, Marcelus V. A. S; Medeiros, Cleverson Winston de Liz.
Afiliação
  • Coelho, Júlio Cezar Uili; Universidade Federal do Paraná. Disciplina de Cirurgia do Aparelho Digestivo. BR
  • Nigro, Marcelus V. A. S; Hospital Nossa Senhora das Graças. BR
  • Medeiros, Cleverson Winston de Liz; Hospital Nossa Senhora das Graças. BR
Rev. Col. Bras. Cir ; 27(4): 279-281, jul.-ago. 2000. ilus
Article em Pt | LILACS | ID: lil-508287
Biblioteca responsável: BR1.1
ABSTRACT
The authors present two cases of unsuspected carcinoma of the gallbladder after laparoscopic cholecystectomy in which trocar site metastasis developed during their follow-up. In the first case, a 68 year-old woman with cholecystolithiasis underwent an uneventful laparoscopic cholecystectomy. Histologic examination revealed adenocarcinoma invading the mucosa and muscular layers of the gallbladder. The patient refused additional treatment. Seven months later, metastasis developed in the umbilical port site, which was excised. In the second case, laparoscopic cholecystectomy was performed for a symptomatic gallstone in a 78 year-old man. The gallbladder inspection showed thickenning of the infundibulum wall. Histological examination revealed adenocarcinoma invading serosa. No additional treatment was performed because of the patient's advanced age. A metastasis was identified in the 5 mm port site nine months after the operation. Two hepatic metastasis were also demonstrated by ultrasonography.
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Idioma: Pt Revista: Rev. Col. Bras. Cir Assunto da revista: CIRURGIA GERAL Ano de publicação: 2000 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Idioma: Pt Revista: Rev. Col. Bras. Cir Assunto da revista: CIRURGIA GERAL Ano de publicação: 2000 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil