eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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1/2008
vol. 3
 
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abstract:


Review article
Port-site metastases – aetiology and prevention

Agata Frask
,
Maciej Michalik
,
Michał Orłowski

Wideochirurgia i inne techniki małoinwazyjne 2008; 3 (1): 17–21
Online publish date: 2008/03/25
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The aim of this study is to summarize current epidemiological knowledge about the risk of port-site metastases after minimally invasive cancer surgery. The most common proposed aetiologies are wound implantations caused by surgical technique and instrumentation, „chimney effect” and the impact of pneumoperitoneum on local immune reactions. The incidence of port-site metastases is actually comparable to the incidence after conventional open surgery. We describe techniques for preventing port-site implants, for example: fixing trocars to the abdominal wall, avoiding of touching the tumour, high vascular ligation, intraoperative colonoscopy and intraluminal irrigation with 5% iodine povidone, specimen isolation before extraction from the abdominal cavity, and intraperitoneal and trocar-site irrigation with a tumoricidal solution.
keywords:

laparoscopy, port-site metastases, laparoscopy and malignancy, complications

  
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