title: Port-site metastases following robot-assisted laparoscopic surgery for gynecological malignancies.
abstract: OBJECTIVE
  To evaluate the incidence and possible predictors associated with port-site metastases following robotic surgery.
  
  
  METHODS
  Prospective study.
  
  
  METHODS
  University Hospital.
  
  
  METHODS
  Women with gynecological cancer.
  
  
  METHODS
  The occurrence of port-site metastases in the first 475 women undergoing robotic surgery for gynecological cancer was reviewed.
  
  
  METHODS
  Rate of port-site metastases.
  
  
  RESULTS
  A port-site metastasis was detected in nine of 475 women (1.9%). Eight women had either an unexpected locally advanced disease or lymph-node metastases at the time of surgery. All nine women received postoperative adjuvant therapy. Women with ≥ stage III endometrial cancer and women with node positive cervical cancer had a significantly higher risk of developing a port-site metastasis, as did women with high-risk histology endometrial cancer. Port-site metastases were four times more likely to occur in a specimen-retrieval port. One (0.2%) isolated port-site metastasis was detected. The median time to occurrence of a port-site metastasis was 6 months (range 2-19 months). Six of the nine women (67%) have died and their median time of survival from recurrence was 4 months (range 2-16 months).
  
  
  CONCLUSIONS
  In women with gynecological cancer, the incidence of port-site metastases following robotic surgery was 1.9%. High-risk histology and/or advanced stage of disease at surgery seem to be contributing factors.
authors: Department of Obstetrics and Gynecology, Skåne University Hospital and Lund University, Lund, Sweden.
authors: Celine
authors: C
authors: Lönnerfors
authors: Thomas
authors: T
authors: Bossmar
authors: Jan
authors: J
authors: Persson
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005833:Genital Neoplasms, Female / Q000473:pathology / Q000601:surgery*; D006801:Humans; D015994:Incidence; D010535:Laparoscopy / Q000379:methods; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000453:epidemiology*; D011183:Postoperative Complications / Q000209:etiology*; D011446:Prospective Studies; D012307:Risk Factors; D012371:Robotics / Q000379:methods
keywords: Gynecological cancer; cervical cancer; endometrial cancer; port-site metastases; robotic surgery