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Port site metastases following laparoscopic liver resection for hepatocellular carcinoma

Lookup NU author(s): Stuart Robinson, Steven White

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Abstract

A laparoscopic approach is being used increasingly in specialist centres for the resection of hepatocellular carcinomas and compares favourably with the traditional open approach, in terms of perioperative morbidity and mortality as well as long-term survival. We present a case of port site recurrence in a patient who underwent a laparoscopic left lateral segmentectomy for a hepatocellular carcinoma diagnosed during investigation of symptomatic gallstones. Nearly three years following surgery, surveillance computed tomography demonstrated a suspicious lesion at the site of one of the laparoscopic ports. Further resection was carried out and the lesion was confirmed histologically to be an isolated recurrence of the primary hepatocellular carcinoma, involving peritoneum and adominal wall. This case demonstrates that it is possible to encounter port site metastasis following laparoscopic resection of primary liver tumours although the incidence is very rare.

Publication metadata

Author(s): Maarschalk J, Robinson SM, White SA

Publication type: Article

Publication status: Published

Journal: Annals of the Royal College of Surgeons of England

Year: 2015

Volume: 97

Issue: 4

Pages: e52-e53

Online publication date: 12/06/2015

Acceptance date: 01/01/1900

ISSN (print): 0035-8843

ISSN (electronic): 1478-7083

Publisher: Royal College of Surgeons of England

URL: https://doi.org/10.1308/003588414X14055925060910

DOI: 10.1308/003588414X14055925060910

PubMed id: 26488054

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