Tumour inoculation during laparoscopy

O’Rourke, N.; Price, Patricia M; Kelly, S.A.; Sikora, Karol; Fligelstone, Louis; Rhodes, Michael; Flook, David; Puntis, M. C. A.; Crosby, David L.

doi:10.1016/0140-6736(93)91511-j

Cited by 135 publications

(38 citation statements)

References 3 publications

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“…The surgical problems concerning suspected or unsuspected gallbladder carcinoma are almost the same at the era of open and laparoscopic cholecystectomies, except for early port-site recurrence of gallbladder carcinoma [15][16][17][18][19][20][21][22][31][32][33][34][35][36][37][38][39][40][41][42][43][44], which is not seen at the era of open cholecystectomy. It is not well known if to excise the trocar sites is enough or not because peritoneal dissemination occurs simultaneously.…”

Section: Discussionmentioning

confidence: 99%

Reliability of frozen section diagnosis of gallbladder tumor for detecting carcinoma and depth of its invasion

et al. 1997

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Section: Discussionmentioning

confidence: 99%

Reliability of frozen section diagnosis of gallbladder tumor for detecting carcinoma and depth of its invasion

et al. 1997

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“…Operative details Four patients also had adjacent intestinal invasion b One patient also had adjacent intestinal invasion during the laparoscopy[1,4,11,12,17,19,24]. It is not known what factors may contribute to this possible neoplastic contamination, but several mechanisms have been proposed such as exfoliation induced by tumor manipulation or local ischemia at the ports.…”

mentioning

confidence: 99%

Short-term outcome analysis of a randomized study comparing laparoscopic vs open colectomy for colon cancer

et al. 1995

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The authors examined the impact of the laparoscopic approach on the early outcome of resected colon carcinomas. The role of laparoscopic techniques in the treatment of colon carcinomas is questionable. Previous studies have suggested technical feasibility of surgical resections of these cancers by laparoscopic means and have implied a benefit to laparoscopic technique for patients undergoing colorectal resections. A prospective, randomized study was conducted comparing laparoscopic assisted colectomy (LAC) open colectomy (OC) for colon cancer. We present the preliminary results in relation to the short-term outcome and judge the feasibility of the laparoscopic procedure to as a way of performing accurate oncologic resection and staging. Benefit has been demonstrated with LAC in this setting. Passing flatus, oral intake, and discharge from hospital occurred earlier in LAC- than OC-treated patients. The mean operative time was significantly longer in the LAC group than in the OC group. The overall morbidity was significantly lower in the LAC group. No significant differences were observed between both groups in the number of lymph nodes removed or the pathological stage following the Astler-Coller modification of the Dukes classification. The laparoscopic approach improves the short-term outcome of segmental colectomies for colon cancer. However, the further follow-up of these patients will allow us to answer in the near future whether or not the LAC may influence the long-term outcome.

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“…Since the introduction of laparoscopic colectomy for colon cancer, several case reports have documented metastasis to trocar sites within weeks to months after a potentially curable operation [1,[9][10][11][12]. Often, metastatic deposits are to port sites other than the specimen extraction site, suggesting that factors other than direct seeding are responsible [13,14].…”

Section: Discussionmentioning

confidence: 99%