A new multistratigraphic zonation for the upper-Aptian and Albian of the Vocontian Basin (SE-France) and NE-Texas, based on planktic foraminiferas, calcareous nannofossils, ammonites and stable isotopes

Reichelt Kerstin, Herrle Jens Olaf, Lehmann J., Hemleben Christoph. A new multistratigraphic zonation for the upper-Aptian and Albian of the Vocontian Basin (SE-France) and NE-Texas, based on planktic foraminiferas, calcareous nannofossils, ammonites and stable isotopes. In: Documents des Laboratoires de Géologie, Lyon, n°156, 2002. STRATI 2002. 3ème congrès français de stratigraphie. Lyon, 8-10 juillet 2002. p. 194

Huge Isolated Port-Site Recurrence after Laparoscopic Partial Nephrectomy: A Case Report

In December 2007, a 66-yr-old man with pain and swelling in the right flank was referred to our clinic for diagnosis. In 2005, the patient underwent a transperitoneal laparoscopic partial nephrectomy for renal cancer of the lower pole of the right kidney, which showed renal clear cell papillary carcinoma (25 mm; pT1a, high grade) with negative surgical margins by histology. After placing the trocars, the intra-abdominal pressure was maintained at 12 mmHg. During the procedure, the specimen ruptured and was removed in two parts, using two Endocath II bags. The warm ischemia time was 25 min. Fibrin glue was applied to the cut renal parenchymal surface after it was repaired with running sutures. Sonographic imaging revealed suspected tumor formation at the right side of the abdomen and normal right and left kidneys. We performed a computed tomography (CT) scan, which revealed a 20-cm tumor in the right abdominal wall. This finding led us to suspect port-site metastasis from the first laparoscopic operation The patient underwent open surgery, which was performed transabdominally by midline incision. The tumoral mass was located in the right abdomen, with infiltration of the superior abdominal wall where the trocar was placed. The mass was completely removed with resection of the abdominal wall. The definitive histologic report revealed the recurrence of a papillary, partially oxyphilic tumor that was 6 ( 2 0 0 9 ) 7 3 7 -7 3 9 a v a i l a b l e a t w w w . s c i e n c e d i r e c t . c o m