Tumor seeding following laparoscopy: international survey.

摘要: The aim of the study was to determine if tumor seeding during laparoscopic surgery for cancer is a rare event or typical complication this procedure. Laparoscopic staging and treatment intraabdominal tumors increasing in gastroenterology, gynecology, general surgery. A total 1052 questionnaires were mailed surgical department chairmen, members German Society Surgery, Swiss Association Thoracoscopic Austrian Minimal Invasive Surgery asking them list their department's experience with after laparoscopy nonapparent known malignancy. There 607 (57.7%) surgeons who reported 117,840 cholecystectomies, 409 incidental gallbladder carcinomas, 412 laparoscopies on patients colorectal carcinoma. Altogether 109 developed recurrence connection have been reported. Port-site identified 70 (17.1%) median 180 days following cholecystectomy In 8 cases (11.5%) protective plastic bag had used retrieval. Six without port-site metastases found diffuse peritoneal carcinomatosis 120 cholecystectomy. Of cancer, 19 (4.6%) reported, 16 which (3.9%) documented scar recurrences 196 laparoscopy. specimen intact, extraction seven cases. 14 trocar-site different malignancies. probability developing abdominal wall metastasis higher than open An intact use retrieval do not exclude risk recurrences. These facts early appearance carcinosis few malignancies seem confirm specific intraperitoneal cell implantation.