Trocar Site Recurrences Following Laparoscopic and Robotic Resection of Gynecologic Malignancies

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).…”