Port-site metastasis
Cancer growing in the small keyhole wounds of a laparoscopic operation, seeded when a gallbladder containing an unsuspected cancer was pulled out through them. It was once seen in up to one in five incidental gallbladder cancers; it is now about one in ten, and cutting out the old port sites at the second operation does not improve survival.
Overview
Port-site metastasis after laparoscopic cholecystectomy for an unsuspected gallbladder cancer was reported in 14 to 30 percent of cases in early series. A systematic review of 27 papers found the incidence fell from 18.6 percent before 2000 to 10.3 percent since (Berger-Richardson 2017), with retrieval bags, avoidance of perforation and fewer extractions through the umbilicus credited. Perforation or bile spillage at the first operation raises the risk of peritoneal dissemination, and the risk of peritoneal carcinomatosis rises with each T category (Soreide 2019). Routine excision of the port sites at re-resection was once standard but has no effect on survival and is no longer recommended (Soreide 2019; Aloia 2015 does not include it in re-resection). Isolated port-site disease is still a form of metastatic recurrence and is treated as such.
Similar pages
not linked directly; found by shared links- TermSegment IVb and V liver resection (versus wedge resection)
Shares Surgery for gallbladder cancer: simple versus radical cholecystectomy, re-resection and lymphadenectomy, Incidental gallbladder cancer (found after cholecystectomy), Radical (extended) cholecystectomy, Gallbladder cancer and the tags gallbladder, biliary.
- TermSimple cholecystectomy
Shares Surgery for gallbladder cancer: simple versus radical cholecystectomy, re-resection and lymphadenectomy, Incidental gallbladder cancer (found after cholecystectomy), Radical (extended) cholecystectomy, Gallbladder cancer and the tags gallbladder, biliary.
- TermCystic duct margin
Shares Surgery for gallbladder cancer: simple versus radical cholecystectomy, re-resection and lymphadenectomy, Incidental gallbladder cancer (found after cholecystectomy), Radical (extended) cholecystectomy, Gallbladder cancer and the tags gallbladder, biliary.
- TermT2a versus T2b gallbladder cancer (peritoneal side versus hepatic side)
Shares Surgery for gallbladder cancer: simple versus radical cholecystectomy, re-resection and lymphadenectomy, Radical (extended) cholecystectomy, Gallbladder cancer and the tags gallbladder, biliary.
- TermPorcelain gallbladder
Shares Gallbladder cancer and the tags gallbladder, biliary.
- TermAnomalous pancreaticobiliary junction (pancreaticobiliary maljunction)
Shares Gallbladder cancer and the tags gallbladder, biliary.
- TermRokitansky-Aschoff sinus
Shares Gallbladder cancer and the tags gallbladder, biliary.
- TermGallbladder polyp (polypoid lesion)
Shares Gallbladder cancer and the tags gallbladder, biliary.