The rate of port-site metastases after 2251 laparoscopic procedures in women with underlying malignant disease.

作者: Oliver Zivanovic , Yukio Sonoda , John P Diaz , Douglas A Levine , Carol L Brown

DOI: 10.1016/J.YGYNO.2008.08.024

关键词:

摘要: Abstract Background The aim was to describe the rate of laparoscopic trocar-related subcutaneous tumor implants in women with underlying malignant disease. Methods An analysis a prospective database all patients undergoing transperitoneal procedures for conditions performed by gynecologic oncology service. Results Between July 1991 and April 2007, were 1694 intraabdominal condition 505 breast cancer risk-reducing, diagnostic or therapeutic without Port-site metastases documented 20 (1.18%) who underwent condition. Of these, 15 had diagnosis epithelial ovarian fallopian tube carcinoma, 2 cancer, cervical 1 uterine cancer. Nineteen (95%) simultaneous carcinomatosis other sites at time port-site metastasis. Patients developed within 7 months from procedure median survival 12 months whereas metastasis >7 months 37 months ( P =0.004). No recurrence Conclusion implantation after disease is low almost always occurs setting synchronous, advanced distant metastatic presence surrogate should not be used as an argument against surgery malignancies.

参考文章(20)
Kuan-Gen Huang, Chin-Jung Wang, Ting-Chang Chang, Jui-Der Liou, Swei Hsueh, Chyong-Huey Lai, Lee-Wen Huang, Management of port-site metastasis after laparoscopic surgery for ovarian cancer. American Journal of Obstetrics and Gynecology. ,vol. 189, pp. 16- 21 ,(2003) , 10.1067/MOB.2003.330
Margo Shoup, Murray F. Breenan, Martin S. Karpeh, Susan M. Gillern, Ross L. McMahon, Kevin C. Conlon, Port site metastasis after diagnostic laparoscopy for upper gastrointestinal tract malignancies: an uncommon entity. Annals of Surgical Oncology. ,vol. 9, pp. 632- 636 ,(2002) , 10.1007/BF02574478
R.F.P.M. Kruitwagen, B.M. Swinkels, K.G.G. Keyser, W.H. Doesburg, Ch.P.Th. Schijf, Incidence and effect on survival of abdominal wall metastases at trocar or puncture sites following laparoscopy or paracentesis in women with ovarian cancer Gynecologic Oncology. ,vol. 60, pp. 233- 237 ,(1996) , 10.1006/GYNO.1996.0031
Robert Stenson, Allan J. Jacobs, Christine G. Janney, Dennis A. Schmidt, Incisional recurrence of squamous cell cervical carcinoma following operative staging. Gynecologic Oncology. ,vol. 39, pp. 232- 235 ,(1990) , 10.1016/0090-8258(90)90440-V
Ralph A. Highshaw, Funda Vakar-Lopez, Eric Jonasch, Alan W. Yasko, Surena F. Matin, Port-Site Metastasis: The Influence of Biology European Urology. ,vol. 47, pp. 357- 360 ,(2005) , 10.1016/J.EURURO.2004.11.008
Larry J. Copeland, Patton B. Saul, Nour Sneige, Cervical adenocarcinoma: tumor implantation in the episiotomy sites of two patients. Gynecologic Oncology. ,vol. 28, pp. 230- 235 ,(1987) , 10.1016/0090-8258(87)90219-8
D. Pezet, E. Fondrinier, N. Rotman, L. Guy, P. Lemesle, P. Lointier, J. Chipponi, Case report. Parietal seeding of carcinoma of the gallbladder after laparoscopic cholecystectomy British Journal of Surgery. ,vol. 79, pp. 230- 230 ,(1992) , 10.1002/BJS.1800790313
I. VERGOTE, S. MARQUETTE, F. AMANT, P. BERTELOOT, P. NEVEN, Port‐site metastases after open laparoscopy: a study in 173 patients with advanced ovarian carcinoma International Journal of Gynecological Cancer. ,vol. 15, pp. 776- 779 ,(2005) , 10.1111/J.1525-1438.2005.00135.X
Pedro T Ramirez, Judith K Wolf, Charles Levenback, Laparoscopic port-site metastases: etiology and prevention. Gynecologic Oncology. ,vol. 91, pp. 179- 189 ,(2003) , 10.1016/S0090-8258(03)00507-9