Port-site metastasis after laparoscopic surgery for gynecologic cancer. A report of six cases

Port-site metastasis after laparoscopic surgery for gynecologic cancer is a recognized entity. Five patients underwent laparoscopic peritoneal biopsies for a stage III (n = 4) or IV (n = 1) ovarian cancer with moderate or poor differentiation. The sixth patient underwent a laparoscopic lymphadenecto...

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Published inJournal of reproductive medicine Vol. 45; no. 10; p. 837
Main Authors Morice, P, Viala, J, Pautier, P, Lhommé, C, Duvillard, P, Castaigne, D
Format Journal Article
LanguageEnglish
Published United States 01.10.2000
Subjects
Adenocarcinoma - etiology
Adenocarcinoma - secondary
Aged
Female
Humans
Laparoscopy - adverse effects
Middle Aged
Neoplasm Recurrence, Local
Neoplasm Seeding
Ovarian Neoplasms - pathology
Ovarian Neoplasms - surgery
Skin Neoplasms - etiology
Skin Neoplasms - secondary
Vaginal Neoplasms - pathology
Vaginal Neoplasms - surgery
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Summary:Port-site metastasis after laparoscopic surgery for gynecologic cancer is a recognized entity. Five patients underwent laparoscopic peritoneal biopsies for a stage III (n = 4) or IV (n = 1) ovarian cancer with moderate or poor differentiation. The sixth patient underwent a laparoscopic lymphadenectomy for vaginal carcinoma with bulky metastatic pelvic lymph nodes. In order to avoid port-site metastasis, patients with an obviously malignant ovarian tumor and ascites should not be treated with laparoscopy using pneumoperitoneum. If a malignant ovarian tumor is discovered during laparoscopy, the interval between initial surgery and complete cytoreductive surgery (with resection of laparoscopic ports) followed by chemotherapy should be as short as possible. For patients with uterine cancer and bulky nodes, laparoscopic lymphadenectomy should be avoided to avoid trocar implantation metastasis.
ISSN:0024-7758