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

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• 作者：Vahan Manvelyan^a ; Veerapol Khemarangsan^b ; Kuan-Gen Huang^c ; ^{kghuang@ms57.hinet.net" class="auth_mail" title="E-mail the corresponding author} ; Aizura-Syafinaz Adlan^d ; Chyi-Long Lee^c
• 关键词：lapar - gynecological cancer ; laparoscopic oncologic surgery ; port-site metastasis
• 刊名：Gynecology and Minimally Invasive Therapy
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：5
• 期：1
• 页码：1-6
• 全文大小：424 K

文摘

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.