Port-site metastasis after laparoscopic surgery for endometrial carcinoma: two case reports.
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.
Sanjuán
A
A
Department of Gynecology and Obstetrics, Hospital Clínic Provincial, University of Barcelona, Villarroel 170, 08036-Barcelona, Spain. 30039asp@comb.es
Hernández
S
S
Pahisa
J
J
Ayuso
J R
JR
Torné
A
A
Martínez Román
S
S
Lejárcegui
J A
JA
Ordi
J
J
Vanrell
J A
JA
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