Obstetrics & Gynecology

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Obstetrics & Gynecology:
doi: 10.1097/AOG.0b013e3182860c69
Case Reports

Isolated Port-Site Metastasis After Robotic Hysterectomy for Stage IA Endometrial Adenocarcinoma

Grabosch, Shannon MD; Xynos, Francisco MD

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Abstract

BACKGROUND: Port-site metastasis is a known complication of laparoscopic surgery, although it has been described less in robotic surgery. There are limited reports of such occurrences in current literature.

CASES: Two patients underwent robotic-assisted total laparoscopic hysterectomy, bilateral salpingo-oophorectomy, and lymph node dissection for stage IA endometrial cancer. One patient's surgery was complicated by uterine perforation but the other surgery was uncomplicated. Both patients had development of isolated port-site metastasis and required resection followed by chemotherapy and radiation.

CONCLUSION: Port-site metastasis is a surgical complication with an unclear etiology. There are no clear data to suggest a lower incidence with robotic surgery. Patients at low risk for recurrence still may experience development of port-site metastasis.

© 2013 by The American College of Obstetricians and Gynecologists.

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