[Tumor seeding on trocar scars: epidemiology, clinical significance and prevention].
A comprehensive literature review was conducted to study the epidemiology, clinical significance and preventive measures for port site recurrence following laparoscopic procedures performed for a colorectal or unrecognised gallbladder cancers. The incidence of this complication is difficult to evaluate, it is estimated in most large current series at about 1% after colorectal resections. Parietal recurrence involves a definite poor prognosis. But it is not demonstrated whether this is due to a worsening of a curable disease or to a disease with an initially poor prognosis. Since this complication has a multifactorial pathogenesis, preventive measures are multiple mainly a rigorous surgical technique according to a prospective operative protocol.
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Service de Chirurgie Générale et Digestive, Hôtel-Dieu, Clermont-Ferrand, France.
D002921:Cicatrix / Q000473:pathology*; D006801:Humans; D020706:Laparoscopes; D009366:Neoplasm Seeding; D012878:Skin Neoplasms / Q000453:epidemiology / Q000556:secondary*; D013525:Surgical Instruments