Cancer dissemination during laparoscopic surgery: tubes, gas, and cells.

摘要: n = 11) or laparotomy (group 2, 12). A Medline review of all experimental studies about the risk cancer dissemination during laparoscopic surgery was undertaken. Both models were associated with implants in parietal wounds [1/11 group 1 (9%) vs. 1/12 2 (8%), p NS]. Analysis current literature confirms that laparoscopy is abdominal cell mobilization, and cells can be recovered trocars, filtered exhaust gas, instruments. Postoperative immunosuppression, biologic aggressiveness tumor, gas used for also influence tumoral growth. Port-site metastases are secondary to multiple factors, including technical skill surgeon, properties tumors, local environmental aspects. Undoubtedly, help disseminate aggressive tumors should reserved diagnostic staging procedures treatment low-grade malignant tumors. Therapeutic resection, especially colon cancer, restricted prospective randomized trials until there enough hard data rule out clinical importance this potentially severe complication.