患者男 ,5 6岁。 1998年 11月因发现胆囊结石在当地医院行腹腔镜胆囊切除术 ,术后病理示胆囊癌。经治医生因考虑已完整切除胆囊 ,故未行辅助治疗。术后 3个月扪及上腹伤口处有一硬币大小硬结 ,无触痛 ,逐渐长大。术后 9个月入院 ,查体 :浅表淋巴结未扪及肿大 ,腹平软 ,于剑突下 Male patient, 5-6 years old. In November 1998, laparoscopic cholecystectomy was performed at a local hospital for gallstones. Postoperative pathology showed gallbladder cancer. The gynecologist has not completed adjuvant therapy because he has considered complete gallbladder removal. After 3 months of operation, there was a coin-sized induration at the wound of the epigastric abdomen, no tenderness, and it gradually grew up. 9 months after admission, physical examination: superficial lymph node metastasis and enlargement, abdominal soft, under the xiphoid process