The DOI matches its Crossref record; 26 of the 26 references it cites were found in a registry or an index.
Port Site Metastasis after Laparoscopic-Assisted Vaginal Hysterectomy for Endometrial Cancer: Possible Mechanisms and Prevention
Abstract
Only 19 cases of metastases at the cannula insertion site after laparoscopy for gynecological malignancy have been reported in the literature. One case has been diagnosed with cervical squamous cell carcinoma, whereas the others have been diagnosed with ovarian cancer and borderline ovarian tumor. We present a novel case of laparoscopy-site abdominal wall metastasis from endometrial cancer after laparoscopic-assisted vaginal hysterectomy (LAVH). The 56-year-old female patient exhibited metastases of an abdominal wall trocar site and a perineal site after undergoing LAVH and laparoscopic-assisted (LA) bilateral pelvic lymph node sampling as well as LA para-aortic lymph node sampling for treating endometrial carcinoma, surgical staging IIIC, G3. The interval between the surgical extirpation of endometrial carcinoma and diagnosis of the tumor recurrence was 6 months, suggesting that overmanipulation of the diseased organ during laparoscopic surgery may have resulted in tumor spillage, intraperitoneal dissemination, and wound contamination. Although this procedure has been proven beneficial to patients with benign disease or early-stage gynecologic malignancies, laparoscopic-assisted vaginal hysterectomy may not be efficacious to eradicate advanced gynecological malignancy.
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“Some studies suggest that obesity can offer a wide surgical surface for the entrapment of endometrial cells and may impact iatrogenic endometriosis and its severity [30].”
From Challenges in Diagnosis and Prevention of Iatrogenic Endometriosis as a Long-Term Surgical Complication after C-Section (2022) · cites this paper as [30]
Citations
Cites
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- D, Querleu, 1989, Laparoscopic Pelvic Lymphadenectomy, Blackwell Scientific, Oxford
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Minimal Access Cancer Management in Children
Tagge, E. P. (2001) · Springer eBooks · doi:10.1007/978-1-4757-3444-7_26 · Cited by 1
Gasbarro, N., Brusati, M., Lupo, P., Gerli, S., & Renzo, G. C. D. (2011) · Springer eBooks · doi:10.1007/978-0-85729-980-2_10
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Role of MIS in Gynaecological Cancers
Tak, A., Rajanbabu, A., Barmon, D., & Kataki, A. C. (2022) · Springer eBooks · doi:10.1007/978-981-19-5860-1_25
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Contribution to Initial Staging and Assessment of Treatment Results in Gynecologic Cancers
Curtin, J. (2002) · Springer eBooks · doi:10.1007/978-3-642-56290-7_10
Metadata
- Authors
- Wang, P.-H., Yen, M.-S., Yuan, C.-C., Chao, K.-C., Ng, H.-T., Lee, W.-L., & Chao, H.-T.
- Affiliations
- Taipei Veterans General Hospital (TW)
- Venue
- Gynecologic Oncology
- Publisher
- Elsevier BV
- Published
- 1997-07
- Volume
- 66
- Issue
- 1
- Pages
- 151-155
- ISSN
- 0090-8258 (ISSN-L)
- OpenAlex
- W2004615461
- Cited by
- 115
- References
- 26
- Citations by year
- 2024: 2 · 2022: 4 · 2020: 1 · 2019: 2 · 2017: 3 · 2016: 2 · 2015: 3 · 2014: 2 · 2013: 2 · 2012: 6
- FWCI
- 11.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Gynecologic Oncology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Science Council
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Endometrial and Cervical Cancer Treatments
- Health Sciences › Medicine › Surgery › Minimally Invasive Surgical Techniques
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Metastasis and carcinoma case studies
- Keywords
- port-site metastasis, endometrial cancer, laparoscopic-assisted vaginal hysterectomy, abdominal wall metastasis, perineal metastasis, tumor spillage, intraperitoneal dissemination, wound contamination, advanced endometrial cancer
- MeSH terms
- Abdominal Muscles, Female, Humans, Hysterectomy, Vaginal, Middle Aged, Perineum, Laparoscopy, Endometrial Neoplasms, Muscle Neoplasms
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