2007
DOI: 10.1016/j.urology.2007.09.004
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Pathologically Confirmed Port Site Metastasis After Laparoscopic Radical Prostatectomy: Case Report and Literature Review

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Cited by 18 publications
(12 citation statements)
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“…An important caveat is not using a specimen bag to retrieve the lymph node packets as this could pose a risk for port site recurrence. Although a port site recurrence after laparoscopic radical prostatectomy in general is exceedingly rare in patients with intermediate and high risk features, it might be increased [26,27]. Therefore, we strongly recommend using specimen bags.…”
Section: Discussionmentioning
confidence: 99%
“…An important caveat is not using a specimen bag to retrieve the lymph node packets as this could pose a risk for port site recurrence. Although a port site recurrence after laparoscopic radical prostatectomy in general is exceedingly rare in patients with intermediate and high risk features, it might be increased [26,27]. Therefore, we strongly recommend using specimen bags.…”
Section: Discussionmentioning
confidence: 99%
“…The locations corresponded to the extraction site and righthand port site. 4 Another cutaneous metastasis was reported by Bangma and colleagues. The patient suffered from cT3 prostate cancer and was eligible for local radiotherapy prior to which pelvic lymphadenectomy was performed for staging purposes (pN1).…”
Section: Tomy the Original Prostatic Adenocarcinoma Was A Pt3bmentioning
confidence: 86%
“…1 Cell spillage can occur from inadvertent sectioning through the tumour, trauma from grasping instruments, tumour contamination of closure devices, or other surgical instruments contaminating a unprotected wound. 4 It is also facilitated by poor host immune status, advanced tumour stages, and the presence of ascites. 1 However, there is a case describing port-site metastasis in a woman with a previous renal transplant who underwent laparoscopic cholecystectomy.…”
Section: Tomy the Original Prostatic Adenocarcinoma Was A Pt3bmentioning
confidence: 99%
“…That patient also developed lymph node recurrence and widespread bony metastases, with a PSA of 1.15 ng/mL, likely representing poorly differentiated prostate cancer. 11 Multiple theories have attempted to explain the probable mechanisms of port site metastases. Tumor related (high grade cancer), wound related (local immune response) and procedure related (morcellation, absence of bag retrieval) factors would appear to facilitate tumor seeding during laparoscopic surgery.…”
Section: Discussionmentioning
confidence: 99%