Parietal seeding of carcinoma of the gallbladder after laparoscopic cholecystectomy

Pezet, Denis; Fondrinier, É.; Rotman, N; Lochard, Guy; Lemesle, P; Lointier, Patrice; Chipponi, J

doi:10.1002/bjs.1800790313

Cited by 128 publications

(29 citation statements)

References 14 publications

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“…[33][34][35] Recently, recurrence of colonic tumors at port sites after laparoscopic colectomy also have been described.3638 Recurrences also have been noted in the abdominal wound through which the primary tumor was delivered. In our briefperiod of follow-up, there was 1 patient of 32 who underwent operation for potentially curable malignancy who had a recurrence of multiple liver metastases.…”

Section: Clinical Materialsmentioning

confidence: 99%

Laparoscopic-Assisted Colectomy Initial Experience

et al. 1994

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ConclusionsThis study indicated that laparoscopic techniques can be applied safely and effectively to a broad range of colonic operations. Laparoscopic-assisted colectomies take longer to perform and are more costly, but are associated with less paralytic ileus, less pain, and reduced hospital stay. Laparoscopic colectomies for the treatment of malignancy are achievable technically, but will require careful long-term study.The application of laparoscopic techniques to many return ofthe patient to normal activities. 1-7 Similar benabdominal and thoracic procedures is the direct result of efits might be anticipated with the application of laparothe success and refinement of laparoscopic biliary sur-scopic techniques for other standard intra-abdominal gery. Laparoscopic cholecystectomy has become the and thoracic operations; however, the technical ability standard of care with many benefits, including less post-to perform a procedure with the laparoscope does not operative pain, better cosmesis, fewer pulmonary com-necessarily equate with better results. The ultimate role plications, shorter postoperative stay, and a more rapid of laparoscopic surgery will require a critical examina-732

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Section: Clinical Materialsmentioning

confidence: 99%

Laparoscopic-Assisted Colectomy Initial Experience

et al. 1994

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“…An explanation why these abdominal wall metastases occur is not yet available, although it is thought that this kind of tumor seeding is only due to intraoperative manipulation and instrumental contamination [1, 4, 7]. One important factor may also be the use of CO 2 causing immunologic changes and therefore promoting development of intra- and extraperitoneal metastases.…”

Section: Introductionmentioning

confidence: 99%

The Impact of Laparoscopy with Carbon Dioxide versus Helium on Immunologic Function and Tumor Growth in a Rat Model

Jacobi¹,

Wenger²,

Sabat³

et al. 1998

Dig Surg

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Background: The pathogenesis of port site recurrences after laparoscopic surgery for malignant disease is still unknown. Whether different gases used to establish pneumoperitoneum have an influence on immunologic function and therefore on promotion of tumor growth has not yet been investigated. Methods: Tumor growth of colon adenocarcinoma DHD/K12/TRb was evaluated in a rat model after insufflation either with CO₂ (n = 25) or helium (n = 25) and in a control group (n = 25). Tumor growth was measured subcutaneously and intraperitoneally 5 weeks after insufflation. Beside tumor growth, immunologic changes (peripheral leukocyte subpopulations, plasma levels of TNFα and IL-10) were evaluated during the perioperative course in all animals. Results: Subcutaneous tumor growth was promoted by the CO₂ (99 ± 55 mg; p < 0.01) compared to the helium (40 ± 41 mg) and control groups (36 ± 33 mg). Total intraperitoneal tumor weight was 718 ± 690 mg in the CO₂ group compared to the helium (549 ± 233 mg) and control groups (521 ± 221 mg). While peripheral leukocyte subpopulations only differed between the laparoscopic groups and the control group during the perioperative course, TNFα plasma levels were significantly decreased and IL-10 plasma levels significantly increased in the CO₂ group compared to the helium and control groups in the postoperative course. Conclusion: The insufflation of CO₂ promotes tumor growth compared to the helium and control groups in a rat model. In addition, increased tumor growth was associated with a significant increase in IL-10 and a decrease in TNFα plasma levels.

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“…This can lead to local control of the disease. Lymph node metastasis in the absence of abdominal wall eclipse does not change the prognosis, but the abdominal wall metastasis and intraabdominal recurrence, suggesting a poor prognosis in this case should be given systemic chemotherapy combined with surgical treatment (22,23). Surgical treatment with systemic therapy shows a positive effect on long-term disease-free survival and overall survival.…”

Section: Discussionmentioning

confidence: 68%

A Case of Parastomal Hernia with Isolated Abdominal Wall Metastasis of Colorectal Cancer

Özyıldız¹,

Yazıcıoğlu²,

Turgut³

et al. 2017

Acta Oncol Tur.

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ÖZETKolorektal kanserin en yaygın uzak ve lokal metastazı sırasıyla karaciğer ve küçük pelvise olur. Kolorektal kanserin atipik lokalizasyonda izole metastazı, tanı anında ya da ameliyat sonrası izlem sürecinde görülebilir. Cerrahi teknik, kanserin evresi ve hastalığın doğal seyri gibi birden fazla faktör bu sürecin hayati bileşenlerini oluştursa bile bunların çoğunluğu tümör kolonizasyonu nedeniyle oluşur. Ancak tümör dökülmesine bağlı lokal nüksle nadiren karşılaşılır ve cerrahi teknik eksikliği en çok suçlanan nedendir. 72 yaşındaki kadın hastada da tübülövillöz adenoma zemininde gelişen orta derecede diferansiye distal rektal adenokarsinom (T1N0M0) için 2012 yılında geçirdiği APR (Abdominoperineal rezeksiyon) ameliyatından iki yıl sonra Parastomal herni tespit edildi. Parastomal herni onarımı için operasyona alınan hastada karın duvarının içinde şüpheli bir kitle palpe edildi. Kitle eksize edildi ve patolojik inceleme sonrası adenokarsinom olarak rapor edildi. Yeniden operasyona alınan hastaya kolostomi ile çevresindeki cildin ve 15 cm kolon segmentinin rezeksiyonunu içeren geniş rezeksiyon yapıldı. Biz, kolorektal kanserin izole metastazının izlem süresi boyunca görülebileceğini, bu nedenle atipik lokalizasyondaki herhangi bir kitlenin dikkatli değerlendirilmesi gerektiğini vurgulamayı amaçladık. Anahtar kelimeler: kolorektal kanser, parastomal herni, adenokanser, izole batın duvarı metastazı, kolostomi ABSTRACTThe most common distant and local metastasis of colorectal cancer is to liver and small pelvis respectively. The isolated metastasis of colorectal cancer in the atypical localization can be seen at the time of diagnosis or at postoperative follow-up period. Multiple factors such as surgical technique, stage of cancer, and natural history of the disease are vital components of the process, however majority of them are due to tumor colonization. However local recurrence due to tumor exfoliation rarely encountered, indetermination of surgical technique is the most accused reason. Parastomal hernia was detected in a 72 years old female patient two years after her APR (Abdominoperineal resection) operation in 2012 for moderately differentiated distal rectal adenocarcinoma (T1N0M0) that developed over tubulovillous adenoma. We found a suspicious mass within the abdominal wall closed to parastomal hernia in the operation. The mass was excised and reported as adenocarcinoma after pathological examination. Reoperation was planned and wide resection was performed with appropriate surgical margin including 15 cm of colon loops with skin of colostomy site. We aimed to emphasize that isolated metastasis of colorectal cancer can be seen during follow-up period so that any mass at atypical localization must be evaluated carefully.

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Parietal seeding of carcinoma of the gallbladder after laparoscopic cholecystectomy

Cited by 128 publications

References 14 publications

Laparoscopic-Assisted Colectomy Initial Experience

Laparoscopic-Assisted Colectomy Initial Experience

The Impact of Laparoscopy with Carbon Dioxide versus Helium on Immunologic Function and Tumor Growth in a Rat Model

A Case of Parastomal Hernia with Isolated Abdominal Wall Metastasis of Colorectal Cancer

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