Background: The wide acceptance of laparoscopic cholecystectomy has resulted in the performance
of increased numbers of cholecystectomies, hence increasing the number of patients
discovered with concomitant malignancy or other pathological states.
Patients and Methods: A total of 3751 patients who underwent laparoscopic cholecystectomy between January
1995 and December 2000 were included in this study. Nine cases of coexisting malignant
colonic neoplasm were discovered. All of these patients but one underwent therapeutic
resection.
Results: The survival rate of these nine patients was the same as that of 62 consecutive colonic
cancer patients who were treated in our department over the same period. The rate
of postoperative complications in the study group was higher than in the control group
(21 % vs. 9.5 %). The hospital stay in these patients was also greater (17 days vs.
10 days).
Conclusion: The rate of incidental discovery of colorectal carcinomas during laparoscopic cholecystectomy
in our department was 0.24 %. These patients had higher complication rates and a longer
hospital stay.
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M. M. Konstadoulakis, M.D., Ph.D.
Laparoendoscopic Unit · First Dept. of General Surgery · Athens University · Hippocration
Hospital
Kalvou 24 · Old Psichiko 154 52 · Athens · Greece
Fax: + 30-1-6722259
Email: labsures@med.uoa.gr
