Port-Site Recurrences in Laparoscopic Surgery
Tumor growths at port-sites after laparoscopic surgery for abdominal cancer have caused major concern among doctors and patients in the early 1990S (Wexner and Cohen 1995). Laparoscopic surgery was considered less traumatic for the patient but appeared deceiving in malignancies in some patients. Many surgeons have abandoned the laparoscopic approach in patients with malignant tumors for fear of port-site recurrences. A wide variety of experimental studies have been instigated to unravel the pathogenesis of port-site recurrences in laparoscopic surgery. Are we facing a novel problem caused by a surgical technique that had been accepted to be superior to conventional open surgery too readily? Browsing through ancient medical literature revealed some interesting communications. In 1903, von Mikulicz published an article entitled “Small contributions to the surgery of the intestinal tract”. The Mikulicz procedure involved exteriorization of a colonic cancer through a small incision to allow extracorporeal resection.
KeywordsLaparoscopic Surgery Laparoscopic Cholecystectomy Gallbladder Cancer Laparoscopic Resection Laparoscopic Colectomy
Unable to display preview. Download preview PDF.
- Cadeddu J.A., Ono Y., Clayman R.V., Barrett P.H., Janetschek G., Fentie D.O., McDougall E.M., Moore R.G., Kinukawa T., Elbahnasy A.M., Nelson J.B., Kavoussi L.R. (1998) Laparoscopic nephrectomy for renal cell cancer: evaluation of efficacy and safety: a multicenter experience. Urology 52: 773–777PubMedCrossRefGoogle Scholar
- Fielding G.A., Lumley J., Nathanson L., Hewitt P., Rhodes M., Stitz R. (1997) Laparoscopic colectomy. Surg Endosc 11: 745–749 Fingerhut A (1995) Laparoscopic colectomy. The French experience. In: Jager R., Wexner S.D. (eds) Laparoscopic colorectal surgery. Churchill Livingstone, New YorkGoogle Scholar
- Fleshman J.W., Nelson H., Peters W.R., Kim H.C., Larach S., Boorse R.R., Ambroze W., Leggett Ph., Bleday R., Stryker S., Christenson B., Wexner S., Rattner D., Sutton J., Fine A.P. (1996) Early results of laparoscopic surgery for colorectal cancer. Retrospective analysis of 372 patients treated by clinical outcomes of surgical therapy (Cost) study group. Dis Colon Rectum 39:53–58CrossRefGoogle Scholar
- Guillou P.J., Darzi A., Monson J.R.T. (1993) Experience with laparoscopic colorectal surgery for malignant disease. Surg Oncol 36: 858–861Google Scholar
- McCulloch P., Johnson M, Jairam R, Fischer W (1998) Laparoscopic staging of gastric cancer is safe and affects treatment strategy. Ann R Coli Surg Engl 80: 400–402Google Scholar
- Nieveen van Dijkum E.J.M., Romijn M.G., Van Eijck C.J.H.J., Gouma D.J. (1999) Rapport van ontwikkelingsgeneeskunde project van de ziekenfondsraad (unpublished)Google Scholar
- Remis R.E., Halverstadt D.B. (1992) Metastatic renal cell carcinoma to the bladder: case report and review of the literature. J Urol 147: 1358–1360.Google Scholar
- Rosato P., Silecchia G., De Leo A., Carlini M., Azzola M., Giraudo G., Franzato G.B., Tamborrino E. (1998) Port-site and wound metastases following laparoscopic resection of colorectal carcinoma. The experience of the Italian registry. Data presented at the 33rd Congress of the European Society for Surgical Research (ESSR)Google Scholar
- Ryall C. (1907) Cancer infection and cancer recurrence: a danger to avoid in cancer operations. Lancet: 1311–1316Google Scholar
- Vukasin P., Ortega A.E., Greene F.L., Steele G.D., Simons A.J., Anthone G.J., Weston L.A., Beart R.W. (1996) Wound recurrence following laparoscopic colon cancer resection. Results of the American society of colon and rectal surgeons laparoscopic registry. Dis Colon Rectum 39: 20–23CrossRefGoogle Scholar
- Wilson J.P. (1994) Discussion. Ann Surg 219: 742Google Scholar