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

Manvelyan, Vahan; Khemarangsan, V.; Huang, Kuan-Gen; Adlan, Aizura-Syafinaz; Lee, Chyi‐Long

doi:10.1016/j.gmit.2015.06.009

Cited by 16 publications

(16 citation statements)

References 65 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A tangible role is attributed to ovarian cancer, primary peritoneal cancer, presence of ascites, biologically aggressive disease, surgery-related factors including tumor manipulation and wound contamination. [ 38 ] An analysis of a large prospective database of all patient undergoing laparoscopic procedures for malignant condition by the gynecological oncologist reported the incidence of PSMs was only 1.18% (20 of 1694 patients). Of these, 15 patients had a diagnosis of EOC or fallopian tube carcinoma.…”

Section: R Esult and Discussionmentioning

confidence: 99%

Is it the time for laparoscopic management of early-stage ovarian malignancies?

Tantitamit

Lee

2018

Gynecol Minim Invasive Ther

Self Cite

View full text Add to dashboard Cite

The laparoscopic management of early-stage ovarian cancer remains controversial. Some surgeons hesitate to perform laparoscopic staging due to concern with the adequacy of staging, the possibility of tumor spillage and risk of port-site metastasis. Previous studies and literature reviews have reinforced the argument and supported the use of laparoscopy. However, the results were drawn with limited sample size obtained from case-series and case–control studies which result in difficult to make definite conclusions. Till date, the list of laparoscopic procedures has grown at a pace consistent with improvements in technology and technical skill of the surgeon. The number of studies with larger sample size, more prospective data, and longer duration of follow-up has been increasing. This review serves as an update on safety, feasibility, surgical, and oncological outcomes in cases of early-stage ovarian cancer treated by laparoscopic surgery of the literature published since 2008. We aim to clarify whether laparoscopy is safe and effective enough to be considered as standard management. Rely on nonrandomize studies, the current clinical evidence supports the role of laparoscopy in the management of early-stage ovarian cancer. Laparoscopy appears to offer several perioperative benefits without compromise of surgical morbidity and oncological outcome.

show abstract

Section: R Esult and Discussionmentioning

confidence: 99%

Is it the time for laparoscopic management of early-stage ovarian malignancies?

Tantitamit

Lee

2018

Gynecol Minim Invasive Ther

Self Cite

View full text Add to dashboard Cite

show abstract

“…The occurrence of port-site metastases has raised concern about the use of laparoscopic surgery for procedures associated with malignant disease. The actual incidence of port-site metastases estimates range from 0% to 1.2%[ 6 7 ] but as early cytoreduction immediate or within two weeks (high risk of vascular adhesions and edema) this concern is so low. [ 7 ]…”

Section: Discussionmentioning

confidence: 99%

Laparoscopy and computed tomography imaging in advanced ovarian tumors: A roadmap for prediction of optimal cytoreductive surgery

El-Agwany

2018

Gynecol Minim Invasive Ther

View full text Add to dashboard Cite

Introduction:Comprehensive staging laparotomy and cytoreductive surgery followed by chemotherapy has been the standard of care in advanced ovarian cancer. Neoadjuvant chemotherapy is an alternative in inoperable advanced cases. To select patients amenable for successful cytoreduction, major determinants including CT imaging and laparoscopy could be of value. There is no general accepted model for selection and reproducibility of techniques are a major challenge due to different clinical practice and complexity of scoring systems. Some lesions as small size (<5 mm) peritoneal deposits and mesenteric affection are hard to see on CT so, complementary laparoscopy may play a role in the preoperative assessment. The aim of this study was evaluation of the role of laparoscopy in advanced ovarian tumors for prediction of optimal cytoreductive surgery in relation to CT and surgical peritoneal carcinomatosis index (PCI).Aim:Was to evaluate laparoscopic assessment in advanced ovarian tumors for prediction of optimal cytoreductive surgery in relation to CT and surgical peritoneal carcinomatosis index (PCI).Setting:Gyne-oncology specialized center, El-Shatby maternity university hospital, Alexandria Egypt.Methods:From January 2016 to December 2016, 15 patients were recruited from gyne-oncology specialized center, Alexandria, Egypt. Patients underwent a special design described later then laparoscopy using palmar point entry was done for assessing small lesions and the extent of affection in surface peritoneal, mesentery, serosa of the gut especially small intestine (terminal ileum affection, more or less than 50% affection) mainly with evaluating other sites as liver surface and diaphragm peritoneal surface affection after removal of ascites by aspiration. Findings were correlated with laparotomy and CT scan findings. Surgery was performed in the same setting which is better or with in two weeks.Results:There were two cases with upper abdominal surgeries (cholecystectomy and splenectomy) where no visualization of liver and stomach on laparoscopy but were free on CT scan and surgical evaluation. Douglas pouch was not assessed in two patients with large fixed bilateral ovarian masses on laparoscopy. Two cases with diaphragmatic affection on CT scan related to the posterior surface were not detected on laparoscopy. These findings were correlated with surgical findings as the gold standard. The pathology was ranging from low grade to high grade serous cyst adenocarcinoma.Conclusions:Laparoscopic evaluation is a useful adjunct with CT prior to performing ovarian cancer cytoreductive surgery for assessment of operability. Laparoscopy is better for evaluating extent of serosal affection in advanced tumors in cases with omental cakes on CT. A roadmap for prediction of operability in advanced ovarian cancer can be used by combing CT PCI and laparoscopic assessment.

show abstract

“…There are some complications related to the uterine fibroid in laparoscopic surgery. 1 2 3 4 5 Ovarian vein thrombosis is a rare entity and most cases are associated with pregnancy and the estimated incidence ranges between 0.05 and 0.18% of pregnancies. 80–90% of cases occur several days after delivery.…”

Section: Discussionmentioning

confidence: 99%

Transient elevations of liver enzymes and ovarian vein thrombosis arising after total laparoscopic hysterectomy

Minagawa

Etoh

Masuda

et al. 2017

Gynecology and Minimally Invasive Therapy

View full text Add to dashboard Cite

Ovarian vein thrombosis in non-pregnant patient is a rare clinical entity. Among 170 patients who underwent total laparoscopic hysterectomy (TLH) in our hospital from December 2011 to December 2015, we have one case of ovarian vein thrombosis (0.0059%). A 42-year-oId woman had a fever of 39 °C on the fourth day after TLH. A blood test revealed elevations of liver enzymes and D-dimer (AST 1157 U/L, ALT 942 U/L and D-dimer >30 μg/L). Computed tomography (CT) scan with intravenous contrast agent demonstrated right ovarian vein thrombosis which caused decline in blood flow to liver and acute liver dysfunction. Low-molecular weight heparin was initiated and liver enzymes reduced rapidly. On the seventeenth day after TLH, CT scan revealed a recanalization of the ovarian vein. We report the clinical outcomes of the case attempted with a small review of the literature.

show abstract

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

Cited by 16 publications

References 65 publications

Is it the time for laparoscopic management of early-stage ovarian malignancies?

Is it the time for laparoscopic management of early-stage ovarian malignancies?

Laparoscopy and computed tomography imaging in advanced ovarian tumors: A roadmap for prediction of optimal cytoreductive surgery

Transient elevations of liver enzymes and ovarian vein thrombosis arising after total laparoscopic hysterectomy

Contact Info

Product

Resources

About