The Pathogenesis and Prevention of Port-Site Metastasis in Gynecologic Oncology
Open accessAbstract
Abstract: Port-site metastasis (PSM) is a specific and challenging complication of laparoscopic gynecologic oncologic procedures. Research has demonstrated that PSM is associated with significant morbidity and poor outcome. The exact pathogenesis of PSM in gynecologic patients is not clear. Several preventive measures of PSM have been addressed in the relevant literature, and novel approaches to prevent this uncommon complication keep emerging. In this review, we summarized the potential mechanisms of PSM and discuss the controversies and merits of proposed preventive measures of PSM in gynecologic oncology. We undertook a literature search using the Medline database to identify studies on the pathogenesis and prevention of laparoscopic PSM. Hypotheses of PSM pathogeneses center on the immune response, pneumoperitoneum, wound contamination, and surgical method. Cogent evidence of effective prevention of PSM after laparoscopic surgery is lacking. Traditional preventive actions such as irrigation and tumor manipulation should be taken individually. Insufflation of hyperthermic CO 2 and humidified CO 2 leads to a better outcome in patients with a malignant tumor who undergo a laparoscopic procedure compared with normal CO 2 pneumoperitoneum. Port-site resection shows no advantage in survival and results in more wound events. PSM prevention plays a crucial part in the overall care of patients with gynecologic malignancies who undergo laparoscopic procedures. Keywords: laparoscopy, port-site metastasis, risk factor, prognosis, prevention
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Compared with standard CO2 pneumoperitoneum, hyperthermic and humidified CO2 insufflation improves prognosis for patients with malignant tumors undergoing laparoscopic procedures.
“Compared to standard CO2 pneumoperitoneum, hyperthermic and humidified CO2 insufflation improves the prognosis for patients with malignant tumors undergoing laparoscopic procedures [48].”
From Insights Into Laparoscopic Port Site Complications: A Comprehensive Review (2024) · cites this paper as [48]
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The Impact of Minimally Invasive Surgery in the Treatment of Ovarian Cancer in Young Patients
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- Authors
- Gao, Q., Guo, L., & Wang, B.
- Affiliations
- Qilu Hospital of Shandong University (CN)
- Corresponding author
- Gao, Qianqian
- Guo, Ling
- Wang, Bo
- Venue
- Cancer Management and Research
- Publisher
- Informa UK Limited
- Published
- 2020-10
- Volume
- Volume 12
- Pages
- 9655-9663
- ISSN
- 1179-1322 (ISSN-L)
- PMC
- PMC7547761
- OpenAlex
- W3090337637
- Cited by
- 60
- References
- 63
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 35 · 2023: 4 · 2022: 6 · 2021: 4
- FWCI
- 0.79
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Cancer Management and Research (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
- Topics
- Health Sciences › Medicine › Surgery › Minimally Invasive Surgical Techniques
- Health Sciences › Medicine › Reproductive Medicine › Ovarian cancer diagnosis and treatment
- Health Sciences › Medicine › Surgery › Intraperitoneal and Appendiceal Malignancies
- Keywords
- port-site metastasis, gynecologic laparoscopy, gynecologic cancer, pathogenesis, pneumoperitoneum, surgical irrigation, postoperative complications, prevention
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