Port-Site Metastases: Fact or Fiction?

Fornara, Paolo; Zacharias, Mario; Wagner, Sigrid

doi:10.1159/000071834

Cited by 15 publications

(8 citation statements)

References 20 publications

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“…This concerns the development of local recurrence and progressive metastatic disease. There already have been reports of disease-specific mortality after a short-term follow-up [5,35]. Although recent studies could not reveal any specific risk factors for the development of port-site metastases related to the laparoscopic technique, most of the reported trocar metastases in the field of urology have been observed in cases of transitional cell carcinoma [30,35].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic radical cystectomy with ileal conduit diversion

Velthoven

Piéchaud²

2005

Curr Urol Rep

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urethra of the membranous urethra should be suspended after the anastomosis. Early postoperative continence rate: we retrospectively analyzed the early postoperative urinary continence in 98 patients with LRP. Fifty-six of them underwent modified LRP and 42 with conventional LRP. The results showed that the 1-month urinary continence rate was 57% in the traditional LRP group and 85% in the modified LRP group. Conclusions: The fine anatomy of LRP related structures is the theoretical basis for the improvement of LRP surgery. After conducting the modified LRP surgery based on anatomy, the early urinary continence rate in our center was obviously improved. Abstract: To analyze the experiences of laparoscopic radical cystectomy, modified Wallace ileal conduit retrospectively. To demonstrate the patient positioning, Trocar positioning, operational procedures, key steps and personal experiences of this approach, focusing on the operative techniques and post-operational outcomes of modified Wallace ileal conduit. Cite this abstract as: Yin B. Laparoscopic radical cystectomy, modified Wallace ileal conduit retrospectively. Abstract: Premature ejaculation (PE) occurs when a man ejaculates before he or his partner want climax to happen. For some men, the problem starts with their first sexual experience (primary PE). For others, it happens after a period of normal sexual functioning (secondary PE). In two five nation (Turkey, USA, UK, Netherlands, and Spain) studies of IELT in men from the general population, the median IELT was 5.4 minutes (range, 0.55-44.1minutes) and 6.0 minutes (range, 0.1-52.7 minutes), respectively. In these samples 2.5% of men had an IELT of less than one minute and 6% of less than two minutes PE. Serotonin is the neurotransmitter of greatest interest in the control of ejaculation and has the most robust data in animal and human models. Waldinger et al. hypothesized that lifelong early ejaculation in humans may be explained by a hyposensitivity of the 5-HT2C and/or hypersensitivity of the 5-HT1A receptors. Several forms of pharmacotherapy have been used in the treatment of PE. These include the use of topical local anaesthetics, selective serotonin reuptake inhibitors (SSRI's), tramadol168, phosphodiesterase type 5 inhibitors (PDE5i), and alpha adrenergic blockers170. The use of topical local anaesthetics (LA), such as lidocaine, prilocaine or benzocaine, alone or in association, to diminish the sensitivity of the glans penis is the oldest known pharmacological treatment for PE. The introduction of the selective serotonin reuptake inhibitors, paroxetine, sertraline, fluoxetine, citalopram and the tricyclic antidepressant (TCA) clomipramine has revolutionized the treatment of PE. These drugs block axonal re-uptake of serotonin from the synaptic cleft of central serotonergic

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Section: Discussionmentioning

confidence: 99%

Laparoscopic radical cystectomy with ileal conduit diversion

Velthoven

Piéchaud²

2005

Curr Urol Rep

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“…Careful attention to the nuclear morphology and the presence of delicate fibrillary vascular cores between tumor cells aids correct diagnosis. Other differentials include fibrohistiocytic lesions of the skin and subcutaneous tissue (xanthomatous dermatofibroma, MFH, plexiform fibrohistiocytic tumor, xanthoma, and granular cell tumor) and various skin adnexal tumors (sebaceous hyperplasia, sebaceous adenoma and carcinoma, clear cell sarcoma, clear cell syringoma, clear cell hidradenoma and clear cell porocarcinoma) [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Scar site metastasis of renal cell carcinoma diagnosed on-site cytology: a case report

et al. 2018

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BackgroundRenal cell carcinomas (RCCs) have a propensity for widespread metastases and a wide range of survival rates. They can spread into adjacent organs by direct extension and can invade local or distant sites by lymphatic, hematogenous or lympho-hematogeneous pathways. Scar site metastasis is very rare.Case presentationWe report a rare case of scar site RCC metastasis in a patient who underwent left radical nephrectomy 10 months ago.ConclusionFNAC is a simple and easy technique that can help in the definitive diagnosis of subcutaneous lesions. A correct early stage diagnosis of metastatic RCC can considerably improve the survival rates.

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“…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. 3,7,[12][13][14] Port site metastasis after laparoscopic radical prostatectomy most likely results from a combination of these factors.…”

Section: Discussionmentioning

confidence: 99%