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Incidence of port-site metastasis after undergoing robotic surgery for biliary malignancies.
- Source :
-
World journal of gastroenterology [World J Gastroenterol] 2012 Oct 28; Vol. 18 (40), pp. 5695-701. - Publication Year :
- 2012
-
Abstract
- Aim: To investigate the incidence of clinically detected port-site metastasis (PSM) in patients who underwent robotic surgery for biliary malignancies.<br />Methods: Using a prospective database, the patients undergoing fully robotic surgery for biliary malignancies between January 2009 and January 2011 were included. Records of patients with confirmed malignancy were reviewed for clinicopathological data and information about PSM.<br />Results: Sixty-four patients with biliary tract cancers underwent robotic surgery, and sixty patients met the inclusion criteria. The median age was 67 year (range: 40-85 year). During a median 15-mo follow-up period, two female patients were detected solitary PSM after robotic surgery. The incidence of PSM was 3.3%. Patient 1 underwent robotic anatomatic left hemihepatectomy and extraction of biliary tumor thrombi for an Klatskin tumor. She had a subcutaneous mass located at the right lateral abdominal wall near a trocar scar. Patient 2 underwent robotic pancreaticoduodenectomy for distal biliary cancer. She had two metachronous subcutaneous mass situated at the right lateral abdominal wall under a same trocar scar at 7 and 26 mo. The pathology of the excised PSM masses confirmed metastatic biliary adenocarcinoma.<br />Conclusion: The incidence of PSMs after robotic surgery for biliary malignancies is relatively low, and biliary cancer can be an indication of robotic surgery.
- Subjects :
- Adenocarcinoma pathology
Adult
Aged
Aged, 80 and over
Biliary Tract Neoplasms pathology
Female
Humans
Male
Middle Aged
Risk Factors
Time Factors
Tomography, X-Ray Computed
Treatment Outcome
Adenocarcinoma surgery
Biliary Tract Neoplasms surgery
Biliary Tract Surgical Procedures adverse effects
Neoplasm Seeding
Robotics
Surgery, Computer-Assisted adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 2219-2840
- Volume :
- 18
- Issue :
- 40
- Database :
- MEDLINE
- Journal :
- World journal of gastroenterology
- Publication Type :
- Academic Journal
- Accession number :
- 23155309
- Full Text :
- https://doi.org/10.3748/wjg.v18.i40.5695