Subcutaneous metastases after laparoscopic colectomy

Berends, Frits J.

doi:10.1016/s0140-6736(94)91079-0

Cited by 339 publications

(206 citation statements)

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“…The first successful laparoscopic sigmoidectomy for cancer was reported in 1991 by Jacob's et al [1]. However, the laparoscopic technique was not adopted by surgeons worldwide because of concerns about the adequacy of intra-abdominal exploration and the initial reports of high incidence of port-site metastases [2,3]. As a consequence, laparoscopic surgery for colon cancer was not adopted widely until initial reports of few randomized trials were published in [2002][2003][2004][2005] period [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Colonic Resection for Rectosigmoid Colonic Tumours: A Retrospective Analysis and Comparison with Open Resection

et al. 2010

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Laparoscopic approach for treatment of colorectal malignancy is gaining acceptance gradually; however the benefits of laparoscopic surgery in colonic and rectal tumours is still open to debate. This study aims at a retrospective analysis of operative and short term outcome of patients with rectosigmoid tumours. A retrospective analysis of operative, postoperative and short-term outcome of 62 patients who underwent laparoscopic colorectal resection for cancer of rectosigmoid region were compared with a same number of parameters-matched patients who underwent open colorectal resection. Blood transfusion requirement was significantly more in the open group compared to the laparoscopy group (38.7% versus 6.4%, p=0.001). ICU stay was less in the laparoscopy group (p=<0.05) and they were started on oral liquid diet earlier (p=0.013). The number of the lymph nodes retrieved, positive distal margin and radial involvement were similar in both groups. The hospital stay was significantly shorter in laparoscopy group (8.4 versus 13.8 days, p < 0.05). Radical operation for rectosigmoid tumors is technically feasible with laparoscopic surgery. Laparoscopic approach is associated with less blood loss, transfusion and significantly less ICU stay. Laparoscopic group recovers early and needs less hospital stay

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Section: Introductionmentioning

confidence: 99%

Laparoscopic Colonic Resection for Rectosigmoid Colonic Tumours: A Retrospective Analysis and Comparison with Open Resection

et al. 2010

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“…This can be explained by the disappointing results of initial case studies on laparoscopic colon cancer resection, which revealed high recurrence rates at port sites. 8,9 Despite the fact that more recent studies did not reproduce these results, 10,11 many concerns still persist about the use of laparoscopic surgery in colon and rectal cancer treatment, notably with respect to the technique's complexity, the associated learning curve and the longer operative time. 5 About half the general surgeons in Canada perform laparoscopic colorectal surgery.…”

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confidence: 99%

Laparoscopic versus open surgery for the treatment of colorectal cancer: a literature review and recommendations from the Comité de l’évolution des pratiques en oncologie

et al. 2013

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Background: Adoption of the laparoscopic approach for colorectal cancer treatment has been slow owing to initial case study results suggesting high recurrence rates at port sites. The use of laparoscopic surgery for colorectal cancer still raises a number of concerns, particularly with the technique's complexity, learning curve and longer duration. After exploring the scientific literature comparing open and laparoscopic surgery for the treatment of colorectal cancer with respect to oncologic efficacy and shortterm outcomes, the Comité de l'évolution des pratiques en oncologie (CEPO) made recommendations for surgical practice in Quebec.Methods: Scientific literature published from January 1995 to April 2012 was reviewed. Phase III clinical trials and meta-analyses were included.Results: Sixteen randomized trials and 10 meta-analyses were retrieved. Analysis of the literature confirmed that for curative treatment of colorectal cancer, laparoscopy is not inferior to open surgery with respect to survival and recurrence rates. Moreover, laparoscopic surgery provides short-term advantages, including a shorter hospital stay, reduced analgesic use and faster recovery of intestinal function. However, this approach does require a longer operative time.

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“…(1) That being the case, the reported incidence of PSM in the literature varies from 0.71% (7) to 21%. (8) PSM is even known to occur in patients undergoing staging or diagnostic laparoscopy where no tumour has been handled. (9) Although the exact mechanism of metastasis is unknown, it appears to be multifactorial in nature.…”

Section: Discussionmentioning

confidence: 99%

Delayed presentation of port-site metastasis from an unknown gastrointestinal malignancy following laparoscopic cholecystectomy

Rao¹,

Rathod²,

Kamble³

et al. 2014

smedj

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Port-site metastasis (PSM) is often encountered during laparoscopic surgery in patients with malignancy. We report a 45-year-old woman who presented with a single PSM from papillary adenocarcinoma after undergoing laparoscopic cholecystectomy for calculus cholecystitis. Post cholecystectomy, a diagnosis of chronic cholecystitis was confirmed on histopathology. The patient presented with a mass at the site of epigastric port 28 months after surgery. PSM was suspected on clinical examination, which was supported by findings on computed tomography and further confirmed by fine-needle aspiration cytology of the lump. The patient underwent surgical clearance of the mass, and histopathological examination proved the lesion to be papillary adenocarcinoma. The site of the primary tumour was not detected even after thorough examination. Based on the histopathology report following local surgical clearance, the patient was started on chemotherapy. This case is unusualbecause of the long delay prior to the presentation of PSM and the unknown primary malignancy.

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Subcutaneous metastases after laparoscopic colectomy

Cited by 339 publications

References 0 publications

Laparoscopic Colonic Resection for Rectosigmoid Colonic Tumours: A Retrospective Analysis and Comparison with Open Resection

Laparoscopic Colonic Resection for Rectosigmoid Colonic Tumours: A Retrospective Analysis and Comparison with Open Resection

Laparoscopic versus open surgery for the treatment of colorectal cancer: a literature review and recommendations from the Comité de l’évolution des pratiques en oncologie

Delayed presentation of port-site metastasis from an unknown gastrointestinal malignancy following laparoscopic cholecystectomy

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