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Laparoscopy in 533 patients with abdominal malignancy
D B Pearlstone1, P F Mansfield, S A Curley
1University of Texas M.D. Anderson Cancer Center, Houston 77030, USA.
Surgery
|January 16, 1999
Summary
Port site tumor recurrence after laparoscopy for intra-abdominal malignancy is rare, occurring in 0.8% of cases. Advanced disease significantly increases the risk of port site recurrence, highlighting a key factor in patient selection for minimally invasive procedures.
Area of Science:
- Oncology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Laparoscopic surgery for intra-abdominal malignancy is debated due to concerns about tumor recurrence.
- Evaluating port site tumor recurrence is crucial for assessing the safety of laparoscopy in cancer patients.
Purpose of the Study:
- To determine the incidence of port site tumor recurrence after laparoscopic procedures in patients with intra-abdominal malignancy.
- To identify factors associated with port site recurrence in this patient population.
Main Methods:
- Retrospective review of medical records for patients with nongynecologic malignancies undergoing laparoscopy.
- Data collection included tumor extent, histology, location, procedures, and complications.
- Analysis focused on identifying port site recurrences and correlating them with disease stage.
Main Results:
- Four port site recurrences (0.8%) were identified in 533 patients undergoing laparoscopy for intra-abdominal malignancy.
- Three recurrences occurred in patients with advanced disease; one occurred in a patient without advanced disease.
- The risk of port site recurrence was significantly higher in patients with advanced intra-abdominal disease (P < .0003).
Conclusions:
- Port site recurrence is a rare complication of laparoscopy in patients with intra-abdominal malignancy.
- Advanced intra-abdominal disease is a significant risk factor for port site tumor implantation.