Laparoscopic surgery and port-site metastases: routine measurements to reduce the risk

More and more malignancies are identified by laparoscopy. Concerns have been risen about the safety of these procedures, especially after the publications on trocar metastases. General laparoscopic techniques should include safety measures in order to reduce the risk of implantation metastasis.

Laparoscopy; Port-site metastases; Risk reduction; Surgical technique

[1] Su T.H., Wang K.G., Yang Y.C., Hong B.K., Huang S.H.: "Laparoscopic para-aortic lymph node sampling in the staging of invasive cervical carcinoma: including a comparative study of 10 laparotomy cases". Int. J. Gynecol. Obstet., 1995, 49, 311.

[2] Tjalma W.A.A., Winter-Roach B.A., Rowlands P., de Barros Lopes A.: "P ort-site recurrence following laparoscopic surgery in cervical cancer". Int. J. Gynecol. Cancer, 2001, 11, 409.

[3] Carvalho J.P., Souen J., P inotti J.A.: "Trocar site metastasis after laparoscopic pelvic lymphadenectomy for cervical squamous cell carcinoma". Int. J. Gynecol. Obstet., 1999, 67, 111.

[4] Dam P.A.V., Decloedt J., Tjalma W.A.A., Buytaert P., Becquart D., Vergote J.B.: "Trocar implantation metastasis after laparoscopy in advanced ovarian cancer: can the risk be reduced?". Am. J. Obstet. Gynecol., 1999, 181, 536.

[5] Tjalma W.: "Laparoscopie bij ovariumcarcinomen en iatrogene metastasen". Tijdschr. Geneesk., 2000, 56, 459.

[6] Wang P.H., Yuan C.C., Lin G., Ng H.T., Chao H.T.: "Risk factors contributing to early occurrence of port site metastases of laparoscopic surgery for malignancy". Gynecol. Oncol., 1999, 72, 38.

[7] Tjalma W.A.A.: "Spread of ovarian cancer after laparoscopic surgery". Gynecol. Oncol., 2000, 78, 77.