Laparoscopic cholecystectomy can disseminate in situ XXXX .

@entity1 @entity5 @entity1157 @entity189 @entity1086
BACKGROUND: Early case reports suggest more frequent and rapid recurrences of @entity1086 after laparoscopic cholecystectomy (LC) than after open cholecystectomy. This @entity5 has a poor prognosis and occurs in 1 percent of @entity1 who undergo cholecystectomies. STUDY DESIGN: A recent community hospital series of @entity1086 ( @entity1086 ) was reviewed and the total reported experience of @entity1086 after LC was compiled. Diagnostic findings were compared for @entity1 with @entity1086 and a consecutive series of 24 @entity1 who had LC for benign disease. RESULTS: Nine @entity1 with @entity1086 were found among 928 @entity1 who had undergone cholecystectomy (0.97 percent incidence). Compared to @entity1 without @entity1086 , @entity1 with @entity189 were older, had thicker gallbladder walls, and had more abnormalities detected intraoperatively (all p < or = 0.05). Recurrence of @entity1086 occurred more rapidly after LC, and in diffuse peritoneal and port sites when compared with recurrence patterns after open cholecystectomy. CONCLUSIONS: In @entity1 with @entity1086 , LC may be sufficient when the disease is confined to the gallbladder mucosa and the gallbladder is excised intact without @entity1157 . However, @entity1 whose gallbladders are torn during dissection or @entity1 who have invasive @entity5 should undergo laparotomy and local reexcision. In situ @entity1086 can be implanted if the organ is torn during dissection. When gallbladders with suspicious wall thickening or adhesions are noted at LC, especially in older @entity1 , the procedure should be converted to open cholecystectomy.
