[Port site metastases, current state of knowledge].
Laparoscopic procedures performed for diagnostic or staging purposes or even for a treatment, incorporate a certain risk for port-sites metastases. That possibility seems more potential with this method than with the open procedures. According to the works of Hugues, Welch and after that of Reilly, we do know that the percentage of wound metastatization in median laparotomies should be below 1%. In colorectal surgery this complication has been described with an incidence of 21%. Diverse factors influencing this phenomenon are reviewed. Nowadays the overall incidence of this complication seems to be significantly lower and two recent papers on laparoscopic colorectal surgery show an incidence varying between 0.2 and 1.1%. The oncological significance of such a secondary tumoral manifestation is not yet known. Is it a laproscopy-related complication or just a sign of immunosupressed host? More studies are certainly useful to precise the answer.
Chanson
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C
Service de chirurgie générale Hôpital cantonal de Fribourg. Chanscha@bluewin.ch
Nassiopoulos
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K
Petropoulos
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P
D003113:Colonoscopy / Q000009:adverse effects*; D006801:Humans; D016867:Immunocompromised Host; D015994:Incidence; D010535:Laparoscopy / Q000009:adverse effects*; D009366:Neoplasm Seeding; D019990:Perioperative Care / Q000379:methods; D011028:Pneumoperitoneum, Artificial / Q000009:adverse effects; D011322:Primary Prevention / Q000379:methods; D011351:Proctoscopy / Q000009:adverse effects*; D012307:Risk Factors