Port-site metastasis in laparoscopic gynecological oncology surgery: An overview

Publication date: February 2016 Source:Gynecology and Minimally Invasive Therapy, Volume 5, Issue 1 Author(s): Vahan Manvelyan, Veerapol Khemarangsan, Kuan-Gen Huang, Aizura-Syafinaz Adlan, Chyi-Long Lee Despite the low frequency, port-site metastases are associated with poor outcomes in patients and account for significant patient morbidity. They remain a challenging complication of laparoscopic procedures for gynecologic malignancies. A comprehensive, systematic search for published studies was conducted using the PubMed databases. Various mechanisms of port-site metastases are addressed in the relevant literature. The review of the articles points out that in the development of port-site metastases, the major role is played by biologically aggressive diseases, tumor manipulation, wound contamination, and surgery-related factors. The advantages of laparoscopic oncologic surgery are unquestionable. Further investigations of the mechanisms of port-site metastasis would contribute to the prevention of this insidious pathology.
Source: Gynecology and Minimally Invasive Therapy - Category: OBGYN Source Type: research