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首页> 外文期刊>Surgical Endoscopy >Abdominal malignancies missed during laparoscopic cholecystectomy.
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Abdominal malignancies missed during laparoscopic cholecystectomy.

机译：腹腔镜胆囊切除术中遗漏的腹部恶性肿瘤。

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BACKGROUND: We present our experience with intra-abdominal malignancies different from gallbladder cancer not diagnosed preoperatively and undiscovered during laparoscopic cholecystectomy METHODS: This study involved retrospective analysis of 10 patients hospitalized in the Second Department of General Surgery between 1993 and 2000. In all of them, laparoscopic cholecystectomy had been performed between one week and 21 months earlier. RESULTS: Primary or metastatic neoplasms were diagnosed in five men and five women patients ages 38 to 79 years. In three patients with colorectal cancer, a radical resection was possible. Nonresectable pancreatic cancer was found in three patients. In one of two patients with gastric cancer, palliative, distal gastrectomy was performed. In a patient who had small bowel cancer with metastasis to the ovary, a radical operation was possible. In one patient, liver metastasis from lung cancer was found. CONCLUSIONS: In patients with atypical symptoms of gallbladder lithiasis, a thorough workup before laparoscopic cholecystectomy should be performed. During the laparoscopic procedure, a detailed examination of the whole peritoneal cavity is essential. In cases of prolonged convalescence after laparoscopic cholecystectomy, a source of symptoms different from cholelithiasis should be suspected.
机译：背景：我们介绍了与腹腔内恶性肿瘤不同的经验，腹腔内恶性肿瘤与术前未诊断且在腹腔镜胆囊切除术中未被发现的胆囊癌不同。方法：本研究包括回顾性分析1993年至2000年在第二外科普外科住院的10例患者。在1周至21个月前进行了腹腔镜胆囊切除术。结果：确诊的原发性或转移性肿瘤中，年龄在38至79岁之间的5名男性和5名女性患者。在三名大肠癌患者中，可以进行根治性切除。在三名患者中发现了不可切除的胰腺癌。在两名胃癌患者之一中，进行了姑息性远端胃切除术。对于患有小肠癌并转移至卵巢的患者，可能需要进行根治性手术。在一名患者中，发现了肺癌的肝转移。结论：对于非典型症状的胆囊结石患者，应在腹腔镜胆囊切除术前进行彻底检查。在腹腔镜检查过程中，整个腹膜腔的详细检查至关重要。如果腹腔镜胆囊切除术后恢复期延长，则应怀疑其症状不同于胆石症。

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