Absence of port-site metastases following staging laparoscopy for gastric carcinoma Ausencia de metástasis en los orificios de trócares tras laparoscopia de estadificación en el carcinoma gástrico
Background: port-site metastases (PSM) have been reported following oncological laparoscopic surgery. However, their frequency after laparoscopic examination in gastric cancer has not been well established. Material and methods: prospective follow-up of 41 patients having had a staging laparoscopy a...
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| Format: | Article |
| Language: | English |
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Aran Ediciones
2006-10-01
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| Series: | Revista Espanola de Enfermedades Digestivas |
| Subjects: | |
| Online Access: | http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082006001000005 |
| _version_ | 1819141976277123072 |
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| author | M. L. Deogracias J. C. Rodríguez-Sanjuán F. de la Torre R. A. García M. S. Trugeda A. Domínguez M. Gómez-Fleitas |
| author_facet | M. L. Deogracias J. C. Rodríguez-Sanjuán F. de la Torre R. A. García M. S. Trugeda A. Domínguez M. Gómez-Fleitas |
| author_sort | M. L. Deogracias |
| collection | DOAJ |
| description | Background: port-site metastases (PSM) have been reported following oncological laparoscopic surgery. However, their frequency after laparoscopic examination in gastric cancer has not been well established. Material and methods: prospective follow-up of 41 patients having had a staging laparoscopy and a follow-up longer than 12 months. Mean age was 65 years (29-89). After staging, an open gastrectomy was performed in 33 cases. Mean follow-up was 21.4 (12-66) months. PSM was defined as a node in the former port-site wound with adenocarcinoma histology at biopsy. Results: no patient showed clinical signs of PSM or port-site recurrence, even in advanced stages. We had no morbidity or postoperative mortality attributable to laparoscopic manoeuvres, and no need for laparotomy in cases without a gastrectomy indication. Conclusions: our results suggest that staging laparoscopy is a safe procedure in gastric carcinoma, as it is not associated with PSM after even considerable follow-up, and has a very low complication rate. |
| first_indexed | 2024-12-22T12:03:00Z |
| format | Article |
| id | doaj.art-3a32f6114af5406aa7eb2381be1be8d0 |
| institution | Directory Open Access Journal |
| issn | 1130-0108 |
| language | English |
| last_indexed | 2024-12-22T12:03:00Z |
| publishDate | 2006-10-01 |
| publisher | Aran Ediciones |
| record_format | Article |
| series | Revista Espanola de Enfermedades Digestivas |
| spelling | doaj.art-3a32f6114af5406aa7eb2381be1be8d02022-12-21T18:26:31ZengAran EdicionesRevista Espanola de Enfermedades Digestivas1130-01082006-10-019810755759Absence of port-site metastases following staging laparoscopy for gastric carcinoma Ausencia de metástasis en los orificios de trócares tras laparoscopia de estadificación en el carcinoma gástricoM. L. DeograciasJ. C. Rodríguez-SanjuánF. de la TorreR. A. GarcíaM. S. TrugedaA. DomínguezM. Gómez-FleitasBackground: port-site metastases (PSM) have been reported following oncological laparoscopic surgery. However, their frequency after laparoscopic examination in gastric cancer has not been well established. Material and methods: prospective follow-up of 41 patients having had a staging laparoscopy and a follow-up longer than 12 months. Mean age was 65 years (29-89). After staging, an open gastrectomy was performed in 33 cases. Mean follow-up was 21.4 (12-66) months. PSM was defined as a node in the former port-site wound with adenocarcinoma histology at biopsy. Results: no patient showed clinical signs of PSM or port-site recurrence, even in advanced stages. We had no morbidity or postoperative mortality attributable to laparoscopic manoeuvres, and no need for laparotomy in cases without a gastrectomy indication. Conclusions: our results suggest that staging laparoscopy is a safe procedure in gastric carcinoma, as it is not associated with PSM after even considerable follow-up, and has a very low complication rate.http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082006001000005Staging laparoscopyGastric cancerPort-site metastasis |
| spellingShingle | M. L. Deogracias J. C. Rodríguez-Sanjuán F. de la Torre R. A. García M. S. Trugeda A. Domínguez M. Gómez-Fleitas Absence of port-site metastases following staging laparoscopy for gastric carcinoma Ausencia de metástasis en los orificios de trócares tras laparoscopia de estadificación en el carcinoma gástrico Revista Espanola de Enfermedades Digestivas Staging laparoscopy Gastric cancer Port-site metastasis |
| title | Absence of port-site metastases following staging laparoscopy for gastric carcinoma Ausencia de metástasis en los orificios de trócares tras laparoscopia de estadificación en el carcinoma gástrico |
| title_full | Absence of port-site metastases following staging laparoscopy for gastric carcinoma Ausencia de metástasis en los orificios de trócares tras laparoscopia de estadificación en el carcinoma gástrico |
| title_fullStr | Absence of port-site metastases following staging laparoscopy for gastric carcinoma Ausencia de metástasis en los orificios de trócares tras laparoscopia de estadificación en el carcinoma gástrico |
| title_full_unstemmed | Absence of port-site metastases following staging laparoscopy for gastric carcinoma Ausencia de metástasis en los orificios de trócares tras laparoscopia de estadificación en el carcinoma gástrico |
| title_short | Absence of port-site metastases following staging laparoscopy for gastric carcinoma Ausencia de metástasis en los orificios de trócares tras laparoscopia de estadificación en el carcinoma gástrico |
| title_sort | absence of port site metastases following staging laparoscopy for gastric carcinoma ausencia de metastasis en los orificios de trocares tras laparoscopia de estadificacion en el carcinoma gastrico |
| topic | Staging laparoscopy Gastric cancer Port-site metastasis |
| url | http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082006001000005 |
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