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http://dx.doi.org/10.5230/jgc.2012.12.1.46

Diagnosis of a Trocar Site Mass as Omental Herniation after Laparoscopic Gastrectomy  

Jeong, Sang-Ho (Department of Surgery, Gyeongsang National University School of Medicine)
Lee, Young-Joon (Department of Surgery, Gyeongsang National University School of Medicine)
Kim, Dong-Chool (Department of Pathology, Gyeongsang National University School of Medicine)
Bae, Kyung-Soo (Department of Diagnostic Radiology, Gyeongsang National University School of Medicine)
Choi, Sang-Kyung (Department of Surgery, Gyeongsang National University School of Medicine)
Hong, Soon-Chan (Department of Surgery, Gyeongsang National University School of Medicine)
Jung, Eun-Jung (Department of Surgery, Gyeongsang National University School of Medicine)
Ju, Young-Tae (Department of Surgery, Gyeongsang National University School of Medicine)
Jeong, Chi-Young (Department of Surgery, Gyeongsang National University School of Medicine)
Ha, Woo-Song (Department of Surgery, Gyeongsang National University School of Medicine)
Publication Information
Journal of Gastric Cancer / v.12, no.1, 2012 , pp. 46-48 More about this Journal
Abstract
A trocar site hernia is a rare complication. We report a patient who had an abdominal wall mass at a previous trocar site after laparoscopic distal gastrectomy. It was diagnosed as omental herniation and fat necrosis. We conclude that patients with trocar site masses exhibiting fat density on a computed tomography scan could be followed up without surgery, and that fascial defects located at 10-mm or larger trocar sites should be closed whenever possible to prevent hernia formation.
Keywords
Omentum; Hernia; Trocar; Gastric neoplasms; Laparoscopy;
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1 Ahmad SA, Schuricht AL, Azurin DJ, Arroyo LR, Paskin DL, Bar AH, et al. Complications of laparoscopic cholecystectomy: the experience of a university-affiliated teaching hospital. J Laparoendosc Adv Surg Tech A 1997;7:29-35.   DOI   ScienceOn
2 Baird DR, Wilson JP, Mason EM, Duncan TD, Evans JS, Luke JP, et al. An early review of 800 laparoscopic cholecystectomies at a university-affiliated community teaching hospital. Am Surg 1992;58:206-210.
3 Fear RE. Laparoscopy: a valuable aid in gynecologic diagnosis. Obstet Gynecol 1968;31:297-309.   DOI   ScienceOn
4 Maio A, Ruchman RB. CT diagnosis of postlaparoscopic hernia. J Comput Assist Tomogr 1991;15:1054-1055.   DOI   ScienceOn
5 Jeong SH, Lee YJ, Park ST, Choi SK, Hong SC, Jung EJ, et al. Risk of recurrence after laparoscopy-assisted radical gastrectomy for gastric cancer performed by a single surgeon. Surg Endosc 2011;25:872-878.   DOI   ScienceOn
6 Hwang SI, Kim HO, Yoo CH, Shin JH, Son BH. Laparoscopicassisted distal gastrectomy versus open distal gastrectomy for advanced gastric cancer. Surg Endosc 2009;23:1252-1258.   DOI   ScienceOn
7 Lee YJ, Ha WS, Park ST, Choi SK, Hong SC. Port-site recurrence after laparoscopy-assisted gastrectomy: report of the first case. J Laparoendosc Adv Surg Tech A 2007;17:455-457.   DOI   ScienceOn
8 Bergemann JL, Hibbert ML, Harkins G, Narvaez J, Asato A. Omental herniation through a 3-mm umbilical trocar site: unmasking a hidden umbilical hernia. J Laparoendosc Adv Surg Tech A 2001;11:171-173.   DOI   ScienceOn
9 Bloom DA, Ehrlich RM. Omental evisceration through small laparoscopy port sites. J Endourol 1993;7:31-32.   DOI   ScienceOn
10 Montz FJ, Holschneider CH, Munro MG. Incisional hernia following laparoscopy: a survey of the American Association of Gynecologic Laparoscopists. Obstet Gynecol 1994;84:881-884.
11 Helgstrand F, Rosenberg J, Bisgaard T. Trocar site hernia after laparoscopic surgery: a qualitative systematic review. Hernia 2011;15:113-121.   DOI   ScienceOn