Author/Editor		Škapin, Stojan
Title		Zasevek prikritega karcinoma žolčnika v epigastrični brazgotini po laparoskopski holecistektomiji - prikaz primera
Translated title		Epigastric scar metastasis following laparoscopic cholecystectomy for an occult gallbladder carcinoma - case report
Type		članek
Source		Endoskopska revija
Vol. and No.		Letnik 9, št. 22
Publication year		2004
Volume		str. 27-30
Language		slo
Abstract		Introduction. Laparoscopic cholecystectomy has been considered the method of choice for a number of years. Indications ,for the procedure are usually based on the patient's history, physical examination and ultrasound of the abdomen. The rate of occult gallbladder carcinomas discovered during the procedure is 1 to 2 per cent, compared to 10 to 15 per cent for carcinomas suspected preoperatively. Discussion. Metastases from adenocarcinoma that arise in one or several port sites following laparoscopic cholecystectomy pose a serious problem. Since they carry a dismal prognosis, obtaining an accurate and timely pre- or intraoperative diagnosis is imperative in these cases. Conclusion. Gallbladder carcinomas are the sixth most common gastrointestinal carcinomas. Longterm survival can be expected only in patients treated by early radical removal of the tumor.
Summary		Uvod. Laparoskopska holecistektomija je že vrsto let metoda izbire. Za indikacijo običajno zadostujejo anamneza, klinični pregled in UZ preiskava trebuha. V 1 do 2% nas lahko pri poseg preseneti karcinom žolčnika, na katerega lahko pred operacijo posumimo le v 10 do 15%. Diskusija. Metastaza adenokarcinoma na enem ali več standardnih vstopnih mestih po laparoskopski odstranitvi žolčnika je resen zaplet. Pomeni slabo prognozo, zato je potrebno že v predoperativni pripravi, pa tudi med samim posegom poskrbeti za pravočasno diagnozo. Zaključek. Karcinom žolčnika je na šestem mestu med karcinomi prebavil. Daljše preživetje lahko bolniku zagotovi le zgodnja radikalna operacija.
Descriptors		CHOLELITHIASIS CHOLECYSTECTOMY, LAPAROSCOPIC GALLBLADDER NEOPLASMS NEOPLASM SEEDING ADENOCARCINOMA MIDDLE AGE COMMON BILE DUCT NEOPLASMS NEOPLASM METASTASIS