Port Site Recurrences Following Laparoscopic Liver Resection for Hepatocellular Carcinoma

Port site recurrence after laparoscopic radical nephrectomy: a case report

“…However, some studies have reported postoperative port site metastasis in gynecologic oncology [1], hepatocellular carcinoma [2–4], renal pelvis carcinoma [5], prostate cancer [6], and gallbladder carcinoma [7]. Here we report a rare case of port site metastasis that was successfully treated 7 years after laparoscopic nephrectomy.…”

Laparoscopic Intragastric Surgery for Treating Early Gastric Cancer

“…Such a dreaded adverse event can potentially happen when the integrity of the gastric wall is compromised: this is mainly due to the fact that EGC can intragastrically exfoliate following the sixth metastatic route as previously demonstrated (26)(27)(28)(29)(30)(31). Any phase of intervention can be affected: the beginning, when the gastric wall is punctured with ports or wires; the in-between course, especially in the case of perforation but also because laparoscopic devices touching and capturing the floating intragastric malignant cells might cause consequent intraperitoneal dissemination; and in the end phase, laparoscopic collection of the specimen might cause tumor implantation in gastric wall defects or abdominal port sites in the case of bag rupture or contaminated laparoscopic devices (32)(33)(34). To prevent or reduce the risk of such mishaps, careful endoscopic guidance during laparoscopic intragastric maneuvers, minimal handling of the tumor, as well as preoperative intragastric lavage and postoperative intraperitoneal washing, represent oncologically appropriate prophylactic measures (21)(22)(23)(24)(25).…”

Managing Focal Nodular Hyperplasia of the Liver: Surgery or Minimally-invasive Approaches? A Review of the Preferable Treatment Options

“…Surgery was the kind of treatment selected also for recurrences. Differently from HCC, no recurrence of FNH has been documented following laparoscopic liver resection thus far (23).…”

“…Additionally, TAE has also been used as a form of bridge therapy to surgery in selected cases for size reduction and pain control (5,16). Finally, TAE can also be performed in emergency settings as a ready method of arresting hemorrhage arising from a ruptured FNH (arteriographic hemostatic TAE has been applied to only five cases as of 2017) (22)(23)(24)(25). On the other hand, due to the uncertainty about the natural history of FNH and its correlation with HCC, some authors still prefer surgical resection to this minimally invasive approach (15).…”