Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2013 Aug;122(2 Pt 2):437-439.
doi: 10.1097/AOG.0b013e3182860c69.

Isolated port-site metastasis after robotic hysterectomy for stage IA endometrial adenocarcinoma

Shannon Grabosch  1 , Francisco Xynos
Affiliations
Case Reports

Isolated port-site metastasis after robotic hysterectomy for stage IA endometrial adenocarcinoma

Shannon Grabosch et al. Obstet Gynecol. 2013 Aug.

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.

Cases: 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.

Conclusion: 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.

PubMed Disclaimer

Comment in

References

    1. Ramirez PT, Wolf JK, Levenback C. Laparoscopic port-site metastases: etiology and prevention. Gynecol Oncol 2003;91: 179–89.
    1. Wang PH, Yuan CC, Lin G, Ng HT, Chao HT. Risk factors contributing to early occurrence of port site metastases of laparoscopic surgery for malignancy. Gynecol Oncol 1999;72:38–44.
    1. Muntz HG, Goff BA, Madsen BL, Yon JL. Port-site recurrence after laparoscopic surgery for endometrial carcinoma. Obstet Gynecol 1999;93:807–9.
    1. Ndofor BT, Soliman PT, Schmeler KM, Nick AM, Frumovitz M, Ramirez PT. Rate of port-site metastasis is uncommon in patients undergoing robotic surgery for gynecological malignancies. Int J Gynecol Cancer 2011;21:936–940.
    1. Sert B. Robotic port-site and pelvic recurrences after robot-assisted laparoscopic radical hysterectomy for a stage IB1 adenocarcinoma of the cervix with negative lymph nodes. Int J Med Robot 2010;6:132–5.

Publication types

LinkOut - more resources