Case histories of three patients who underwent laparoscopic cholecyste
ctomy for unexpected gallbladder cancer are reviewed. Port-site recurr
ence was observed in two of them, In one patient whose abdominal wall
recurrent tumor was excised, a new recurrence developed, but after the
reexcision she is symptom-free 10 months after the last procedure. Th
e surgeon has to be aware of the fact that the survival rate can be do
ubled in stage pT2 if cholecystectomy is followed by extended radical
operation, Only gallbladder cancer in stage pT1 does not need further
procedure, except for excision of port sites. In case of uncertain dia
gnosis preoperative frozen section is recommended, Port-site recurrenc
e does not mean an incurable stage of the disease or a sign of diffuse
metastases, Even after reexcision of abdominal wall metastasis patien
ts might be free from other detectable recurrences.