Port site metastases

Curet, Myriam J.

doi:10.1016/j.amjsurg.2003.10.015

Cited by 145 publications

(109 citation statements)

References 98 publications

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“…The theoretical increased risk of LR following skin-side / muscle side positivity does not appear to be proven, and indeed Nakajima et al [15] were unable to demonstrate a statistically significant difference in the rates of LR between margin positive versus margin negative patients (LR rates= 4/113 for margin +ve versus 19/438 for margin -ve, p=NS). Finally, there have been no reports of local recurrence in the vicinity of axillary or peri-areolar incisions that would mirror port-site recurrence observed following laparoscopic cancer surgeries [27].…”

Section: Is Endoscopic Mastectomy Associated With An Increased Risk Omentioning

confidence: 99%

Endoscopic breast surgery: where are we now and what might the future hold for video-assisted breast surgery?

Leff¹,

Vashisht²,

Yongue³

et al. 2010

Breast Cancer Res Treat

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Section: Is Endoscopic Mastectomy Associated With An Increased Risk Omentioning

confidence: 99%

Endoscopic breast surgery: where are we now and what might the future hold for video-assisted breast surgery?

Leff¹,

Vashisht²,

Yongue³

et al. 2010

Breast Cancer Res Treat

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“…Recent data indicate that laparoscopy cancer resection does not increase the risk of local recurrence or wound metastasis compared to that associated with open surgery [4,11,17]. However, Paolucci et al [18] observed high rates of abdominal wall metastases (port site metastases) after the laparoscopic resection of occult gallbladder carcinoma.…”

Section: Discussionmentioning

confidence: 98%

Laparoscopic versus open resection for appendix carcinoid

et al. 2006

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Background: Since an increasing number of appendectomies are performed via laparoscopy, it is crucial to determine the impact of this approach on appendix carcinoid (AC) outcome. The goal of this study was to compare results of laparoscopic (LAP) versus open (OP) appendectomy for AC according to intend to treat approach. Methods: A retrospective review (1991)(1992)(1993)(1994)(1995)(1996)(1997)(1998)(1999)(2000)(2001)(2002)(2003) identified 39 patients (median age, 36 years; range, 12-83) treated by laparoscopy (LAP) or laparotomy (OP) for AC in a single institution. Follow-up was complete for all patients (median, 67 months; range, 4-132). Results: Most cases had associated acute appendicitis (64%). Median carcinoid size was 1.1 cm (range, 0.3-5) and 0.4 cm (range, 0.2-3) in the LAP and OP groups, respectively. LAP and OP were performed in 21 (54%) and 18 (46%) patients, respectively. Surgical margins were positive in two patients in the LAP group and one patient in the OP group (p = 0.6). Right colectomies were performed for AC >2 cm in five patients after LAP and in four patients after OP (p = 0.9). Actuarial 5-year survival rates were 100 and 94% in the LAP and OP groups, respectively (p = 0.2). Two patients died in the OP group, one due to metastatic carcinoid and the other due to metachronous colorectal cancer. Synchronous or metachronous colorectal carcinomas developed in six patients (15%). Conclusion: Laparoscopic appendectomy is a safe procedure for AC, with carcinologic and long-term results similar to those of conventional appendectomy. Thus, pre-or per-operative suspicion of AC is not a contraindication to LAP. Prognosis of AC appears more dependent on carcinoid malignant potential or associated tumors. Risk for developing colorectal adenocarcinoma is high in AC patients and warrants follow-up of all patients with colonoscopic screening.

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“…The host immune response may also play a role. Localized tissue trauma such as the creation of a suture line may give rise to the suppression of local immune function [12]. Furthermore, clots generated in traumatized tissue of suture-line are rich in fi brin, and this fi brin gel may trap exfoliated cancer cells [13].…”

Section: Discussionmentioning

confidence: 99%

Recurrence of gastric cancer in the jejunal pouch after completion gastrectomy

et al. 2007

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Case reportA 74-year-old man with a history of two operations for gastric cancer was admitted to our hospital in January 2005. The fi rst operation was a distal gastrectomy and Billroth I reconstruction for early gastric cancer, in 1994. Histologically, the tumor was signet-ring cell carcinoma confi ned to the submucosa, and no lymph node metastasis was detected.In January, 2002, an ulcerative tumor, measuring 5.0 × 2.5 cm, was found in the lesser curvature of the subcardia in the remnant stomach, and he underwent a completion gastrectomy with regional lymphadenectomy. Reconstruction was by the Roux-en-Y method, with a jejunal pouch. The pouch was created by a making a side-to-side anastomosis of the jejunal loop with a linear stapler and apical section of unstapled jejunal loop, then an esophagojejunostomy was performed using a circular stapler. Histologically, the tumor was moderately differentiated tubular adenocarcinoma invading the proper muscle layer (T2a), without permeation of the lymphatic or venous capillaries. The cancer-stroma relationship was medullary. The proximal and distal resection margins were free of cancer invasion. No lymph node metastasis was seen (stage IB), and the patient was followed up without adjuvant chemotherapy.In October 2004, a follow-up endoscopy revealed irregularly shaped elevated lesions on the esophagojejunostomy line and along the suture line in the jejunal pouch (Fig. 1). Biopsy showed moderately differentiated tubular adenocarcinoma. Computed tomography showed no lymphadenopathy or hepatic metastasis. The patient's performance status was good, and we decided to perform a third operation with the diagnosis of local recurrence.In January 2005, we performed a transabdominal resection of the lower esophagus and jejunal pouch. There was no evidence of hepatic or peritoneal recur- AbstractWe herein present a case of recurrence of gastric cancer in the jejunal pouch after total gastrectomy in a 74-year-old man. He had a history of two operations for gastric cancer. The second operation was a completion gastrectomy with jejunal pouch reconstruction and regional lymphadenectomy, for gastric cancer in the cardia of the remnant stomach, performed 2 years and 9 months before the present admission. A followup endoscopy showed three elevated tumors along the suture lines in the jejunal pouch in the upper digestive tract. Resection of the jejunal pouch was performed. Gross pathological examination revealed elevated lesions along the staple suture lines in the jejunal pouch. Histopathologically, moderately differentiated tubular adenocarcinoma involving the muscular layer, without lymphatic metastases, was recognized. Recurrence of gastric cancer in the jejunal pouch after resection is rare. We suggest that implantation of exfoliated cancer cells gave rise to the recurrence of tumors on the suture line in this patient. We also review two cases of gastric cancer in the jejunal pouch after resection previously described in the literature.

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Port site metastases

Cited by 145 publications

References 98 publications

Endoscopic breast surgery: where are we now and what might the future hold for video-assisted breast surgery?

Endoscopic breast surgery: where are we now and what might the future hold for video-assisted breast surgery?

Laparoscopic versus open resection for appendix carcinoid

Recurrence of gastric cancer in the jejunal pouch after completion gastrectomy

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