Isolated port-site metastasis after robotic hysterectomy for stage IA endometrial adenocarcinoma
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Updated: May 9, 2026
Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
Shannon Grabosch1, Francisco Xynos
1Saint Louis University Department of Obstetrics, Gynecology, and Women's Health, Division of Gynecologic Oncology at St. Mary's Health Center, St. Louis, Missouri.
Background:
Port-site metastasis is a known complication of laparoscopic surgery, although it has been described less in robotic surgery. There are limited reports of such occurrences in current literature.
Cases:
Two patients underwent robotic-assisted total laparoscopic hysterectomy, bilateral salpingo-oophorectomy, and lymph node dissection for stage IA endometrial cancer. One patient's surgery was complicated by uterine perforation but the other surgery was uncomplicated. Both patients had development of isolated port-site metastasis and required resection followed by chemotherapy and radiation.
Conclusion:
Port-site metastasis is a surgical complication with an unclear etiology. There are no clear data to suggest a lower incidence with robotic surgery. Patients at low risk for recurrence still may experience development of port-site metastasis.
