Association of Surgeon
Port-site metastases in patients undergoing laparoscopy for gastrointestinal malignancy
Article first published online: 8 DEC 2005
Copyright © 1996 British Journal of Surgery Society Ltd.
British Journal of Surgery
Volume 83, Issue 10, pages 1419–1420, October 1996
How to Cite
Cook, T. A. and Dehn, T. C. B. (1996), Port-site metastases in patients undergoing laparoscopy for gastrointestinal malignancy. Br J Surg, 83: 1419–1420. doi: 10.1002/bjs.1800831031
- Issue published online: 8 DEC 2005
- Article first published online: 8 DEC 2005
- Manuscript Received: 2 JUN 1996
Laparoscopic colonic resection and laparoscopy for the assessment of malignant disease have been advocated. Metastatic deposits at port sites are recognized but the incidence of these is poorly defined. Forty-six patients, of median age 65 (range 19–90) years, with gastrointestinal malignancy underwent laparoscopy. Eighteen patients died a median of 4 (range 1–28) months after laparoscopy, four following colonic resection and 14 with gastro-oesophageal malignancy; ten had undergone resection. Median follow-up of the 28 survivors is 8 (range 2–39) months. Five of the 46 patients developed port-site recurrence giving an early incidence of port-site recurrence in this cohort of patients of 11 per cent. Five of 20 patients with tumour involving serosal surfaces developed port-site recurrence compared with none of 26 without serosal involvement (P = 0·022, Fisher's exact test). Port-site recurrence may be related to serosal involvement with tumour.