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Port-Site and Wound Recurrences in Cancer Surgery

Incidence - Pathogenesis - Prevention

  • Marc A. Reymond
  • H. Jaap Bonjer
  • Ferdinand Köckerling

Table of contents

  1. Front Matter
    Pages I-XV
  2. I. Inan, M. A. Reymond
    Pages 6-7
  3. L. Stocchi, H. Nelson
    Pages 8-11
  4. Ph. Wittich, H. J. Bonjer
    Pages 12-20
  5. R. Downey, M. A. Reymond
    Pages 21-25
  6. M. L. Texler, P. J. Hewett
    Pages 44-51
  7. C. A. Jacobi, H. J. Bonjer
    Pages 52-59
  8. S. W. Lee, R. L. Whelan
    Pages 60-68
  9. P. Buchmann, D. Christen, L. Stocchi, H. Nelson
    Pages 69-73
  10. M. Pross, K. Ridwelski, M. A. Reymond
    Pages 74-80
  11. D. Mutter, M. Aprahamian
    Pages 81-90
  12. M. E. Franklin Jr., J. A. Díaz-E, J. Balli
    Pages 91-97
  13. K. Ridwelski, M. Pross, M. A. Reymond
    Pages 112-117
  14. F. Köckerling, C. Schug
    Pages 118-123
  15. C. Schneider, C. Schug, F. Köckerling
    Pages 124-128
  16. M. A. Reymond, J. H. Bonjer, F. Köckerling
    Pages 129-132
  17. Back Matter
    Pages 133-136

About this book

Introduction

During the past 9 years, reports of 'port-site' deposits following laparoscopic surgery for malignancy, especially laparoscopic resection of colonic cancer, have cast a shadow on the wisdom of the laparoscopic approach in the surgical man­ agement in patients with cancer. Those reports of port-site deposits, some 90 cases reported in the literature up to 1999, have opened a 'can of worms' and highlighted the scarcity of our knowledge on cancer cell migration from solid tu­ mors and the factors that underlie their successful implantation in surgical wounds both in the presence and absence of a positive pressure pneumoperito­ neum. The jury is out even in relation to the effect of the healing surgical access wound - do the biochemical and cellular repair processes and the associated growth factors enhance or prevent implantation of exfoliated viable tumor cells? Whatever the answer to this question, it is clear that tumor cells do implant in healing surgical wounds and the key question is whether this is facilitated by lap­ aroscopic surgery with CO pneumoperitoneum compared to the traditional 2 surgical exposure. It is known that tumors shed malignant cells into the blood stream, the peritoneal cavity and in the case of hollow organs, intraluminally. Equally there is good evidence that surgical and instrumental manipulation of tumors induce exfoliation of viable tumor cells.

Keywords

abdominal wall cancer cell colon implant laparoscopic surgery laparoscopy minimally invasive surgery oncology pathogenesis prevention surgery tumor

Editors and affiliations

  • Marc A. Reymond
    • 1
  • H. Jaap Bonjer
    • 2
  • Ferdinand Köckerling
    • 3
  1. 1.Department of SurgeryUniversity Hospital of MagdeburgMagdeburgGermany
  2. 2.University Hospital Rotterdam Dijkzigt HospitalRotterdamThe Netherlands
  3. 3.Hanover HospitalHannoverGermany

Bibliographic information

  • DOI https://doi.org/10.1007/978-3-642-57028-5
  • Copyright Information Springer-Verlag Berlin Heidelberg 2000
  • Publisher Name Springer, Berlin, Heidelberg
  • eBook Packages Springer Book Archive
  • Print ISBN 978-3-642-63117-7
  • Online ISBN 978-3-642-57028-5
  • Buy this book on publisher's site