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

Grabosch, Shannon MD; Xynos, Francisco MD

doi: 10.1097/AOG.0b013e3182860c69
Case Reports

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.

Isolated port site metastasis is a rare complication of robotic surgery for gynecologic malignancy, but it should be considered even in patients with low recurrence risk.

Saint Louis University Department of Obstetrics, Gynecology, and Women's Health, Division of Gynecologic Oncology at St. Mary's Health Center, St. Louis, Missouri.

Corresponding author: Shannon Grabosch, MD, St. Mary's Health Center, 6420 Clayton Road, St. Louis, MO 63117; e-mail:

Financial Disclosure The authors did not report any potential conflicts of interest.

© 2013 by The American College of Obstetricians and Gynecologists.