Surgical treatment of abdominal wall tumor seeding after percutaneous transhepatic biliary drainage

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• 作者：Tomoya Mizuno ; Yoichi Ishizaki ; Yuzo Komuro ; Jiro Yoshimoto ; Hiroyuki Sugo ; Ken Miwa ; Seiji Kawasaki
• 关键词：Percutaneious transhepatic biliary drainage ; Tumor seeding ; Abdormal wall implantation ; Abdominal wall defect ; Abdominal wall reconstruction ; Free tensor fascia lata musculofasciocutaneous flap ; Gastroepiploic
• 刊名：The American Journal of Surgery
• 出版年：2007
• 出版时间：April 2007
• 年：2007
• 卷：193
• 期：4
• 页码：511-513
• 全文大小：4057 K

文摘

Occasional cases of malignant seeding of cancer cells along the catheter tract, particularly affecting the skin, have been reported after percutaneous biliary drainage. Although radical resection of the abdominal wall may achieve long-term postoperative survival, reconstruction of large abdominal defects that cannot be closed primarily is problematic. We describe the successful surgical repair of a full-thickness defect of the abdominal wall using a free tensor fascia lata musculofasciocutaneous flap anastomosed to the intraabdominal gastroepiploic vessels.