Trocar implantation metastasis after laparoscopy in patients with advanced ovarian cancer: Can the risk be reduced?

摘要: Objective: The purpose of this study was to determine risk factors for trocar implantation metastasis after diagnostic laparoscopy in patients with primary or recurrent advanced ovarian cancer. Study Design: Eighty-three women cancer and 21 undergoing a tissue diagnosis assessment operability were included the study. occurrence at incision scars analyzed according clinicopathologic characteristics. Results: A recurrence developed site 7 (58%) 12 which only skin closed end procedure 2 (2%) 92 closure all layers (odds ratio, 63; 95% confidence interval, 10.3-385; P < .001). International Federation Gynecology Obstetrics stage initial presentation, tumor histologic type, differentiation, maximal diameter time diagnosis, estimated weight metastatic tumor, residual cytoreductive surgery, surgical characteristics, type chemotherapy well balanced among both groups. Patients had significantly more ascites (median, 700 mL vs 300 mL; = .032) longer interval between start platinum-based surgery 6 days 17 days; .01) compared without abdominal wall recurrence. palpable none abdomen followed by within 1 week laparoscopy. Kaplan-Meier survival analysis showed that rate similar other patients. Conclusions: Laparoscopy careful peritoneum, rectus sheath, excision trajectories is safe disseminated (Am J Obstet Gynecol 1999;181:536-41.)