IMPLANT METASTASIS 2 YEARS AFTER APPARENT UNCOMPLICATED LAPAROSCOPIC CHOLECYSTECTOMY

An extraordinary rare case of implant metastasis at the laparoscopic w orking port, two years after an apparent uncomplicated laparoscopic ch olecystectomy is presented. The histological reexamination of the gall bladder with the detection of a minimal carcinomatous lymphangiosis in newly prepared sections, the exclusion of other primary tumors and al so the tumor-free intervall of six months until now, after radical exc ision of the abdominal wall, are strongly suggestive for an intraopera tive tumor cell dissemination into the abdominal wall by a histologica lly unrecognized carcinoma of the gallbladder.