Laparoscopic cholecystectomy is a surgical procedure of choice for benign
gallbladder diseases. In about 1-2% of cases histopathological examination
demonstrate incidental gallbladder cancer (GBCA). We report a case of a 61
year old woman who developed port site metastases after laparoscopic
cholecystectomy for adenocarcinoma of the gallbladder. Metastases appeared on
all four port sites. Review of literature regarding incidental GBCA an port
site metastases was also performed. We conclude that the retrieval bag should
be routinely used in laparoscopic cholecystectomy; the procedure should be
performed with minimal trauma; in cases of incidental GB carcinoma, full
thickness excision of the abdominal wall of the port sites demands additional
studies; additional liver bed excision and local lymphadenectomy for T1b
carcinoma are yet to be considered.