title: Port-site metastasis after laparoscopic surgery for endometrial carcinoma: two case reports.
abstract: BACKGROUND
  Although studies have reported good results with laparoscopic-assisted vaginal hysterectomy (LAVH) to treat endometrial cancer, it has been associated with recurrent disease at trocar insertion sites. Long-term follow-up is necessary to detect possible adverse effects of this technique.
  
  
  METHODS
  We present two case reports of stage IIB endometrial cancer with port-site metastasis 39 and 48 months after initial surgery with LAVH.
  
  
  CONCLUSIONS
  Although LAVH is a good technique to treat patients with endometrial cancer, port-site metastasis is a possible complication and should be taken into consideration until a randomized study shows the long-term benefits and risks of laparoscopic over standard treatment.
authors.affiliation: Department of Gynecology and Obstetrics, Hospital Clínic Provincial, University of Barcelona, Villarroel 170, 08036-Barcelona, Spain. 30039asp@comb.es
authors.forename: A
authors.initials: A
authors.lastname: Sanjuán
authors.forename: S
authors.initials: S
authors.lastname: Hernández
authors.forename: J
authors.initials: J
authors.lastname: Pahisa
authors.forename: J R
authors.initials: JR
authors.lastname: Ayuso
authors.forename: A
authors.initials: A
authors.lastname: Torné
authors.forename: S
authors.initials: S
authors.lastname: Martínez Román
authors.forename: J A
authors.initials: JA
authors.lastname: Lejárcegui
authors.forename: J
authors.initials: J
authors.lastname: Ordi
authors.forename: J A
authors.initials: JA
authors.lastname: Vanrell
mesh_terms: D000368:Aged; D016889:Endometrial Neoplasms / Q000473:pathology*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D010535:Laparoscopy / Q000009:adverse effects*; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000473:pathology*; D009366:Neoplasm Seeding; D009367:Neoplasm Staging