TROCAR SITE METASTASIS OF GALL-BLADDER CANCER AFTER LAPAROSCOPIC CHOLECYSTECTOMY

After laparoscopic cholecystectomy (LC) for symptomatic gall-stone dis ease, histological examination showed primary gall bladder carcinoma i n the removed specimen. One month post-operatively a 2 cm large metast asis developed at the previous umbilical incision, where the gall blad der was removed. Five months after its local excision a recurrent 10 c m large tumour developed, which was confirmed by ultrasonography and C T scan. Radical excision of the tumour and subtotal omentectomy was pe rformed. Our patient and the only other published similar case in the international literature would emphasize the use of tissue retrieval b ags, which can prevent such complications by forming a barrier between the abdominal wall and the removed specimen. The authors discuss this issue as a prospective step towards avoiding this more and more frequ ently occurring complication in different types of rapidly developing laparoscopic operative techniques.