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Wound recurrence from gallbladder cancer after open cholecystectomy
1Department of Surgery, University Hospital of Northern Sweden, Umeå, Sweden.
Surgery
|March 15, 2000
Summary
Open cholecystectomy for gallbladder cancer may lead to a higher rate of wound metastases than previously thought. This study found 6.5% of patients undergoing open surgery developed wound metastases, impacting survival.
Area of Science:
- Oncology
- Surgical Oncology
- Gastroenterology
Background:
- Concerns exist regarding port site recurrences of gallbladder cancer after laparoscopic cholecystectomy.
- Previous research indicated a 16% port site metastasis rate in gallbladder cancer patients undergoing laparoscopic surgery.
Purpose of the Study:
- To determine the frequency of wound metastases in gallbladder cancer patients following open cholecystectomy.
Main Methods:
- Retrospective review of gallbladder cancer cases undergoing open cholecystectomy from 1991-1994.
- Data sourced from Swedish Oncological Centers and National Board of Health and Welfare registers.
- Inclusion of all university and county hospitals in Sweden.
Main Results:
- Of 215 open cholecystectomies, 186 had sufficient follow-up data.
- Twelve patients (6.5%) developed wound metastases from gallbladder cancer.
- Patients with wound metastases had a median survival of 10 months.
Conclusions:
- Wound metastases following open cholecystectomy for gallbladder cancer may be more frequent than previously recognized.
- The findings suggest a need for careful consideration of surgical techniques and patient monitoring.