title: Isolated port-site metastasis after robotic hysterectomy for stage IA endometrial adenocarcinoma.
abstract: BACKGROUND
  Port-site metastasis is a known complication of laparoscopic surgery, although it has been described less in robotic surgery. There are limited reports of such occurrences in current literature.
  
  
  METHODS
  Two patients underwent robotic-assisted total laparoscopic hysterectomy, bilateral salpingo-oophorectomy, and lymph node dissection for stage IA endometrial cancer. One patient's surgery was complicated by uterine perforation but the other surgery was uncomplicated. Both patients had development of isolated port-site metastasis and required resection followed by chemotherapy and radiation.
  
  
  CONCLUSIONS
  Port-site metastasis is a surgical complication with an unclear etiology. There are no clear data to suggest a lower incidence with robotic surgery. Patients at low risk for recurrence still may experience development of port-site metastasis.
authors.affiliation: Saint Louis University Department of Obstetrics, Gynecology, and Women's Health, Division of Gynecologic Oncology at St. Mary's Health Center, St. Louis, Missouri.
authors.forename: Shannon
authors.initials: S
authors.lastname: Grabosch
authors.forename: Francisco
authors.initials: F
authors.lastname: Xynos
mesh_terms: D034861:Abdominal Wall / Q000473:pathology; D000230:Adenocarcinoma / Q000556:secondary / Q000601:surgery*; D016889:Endometrial Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects; D010535:Laparoscopy / Q000009:adverse effects*; D008875:Middle Aged; D009366:Neoplasm Seeding; D010052:Ovariectomy / Q000009:adverse effects; D012371:Robotics; D058994:Salpingectomy / Q000009:adverse effects