PORT SITE METASTASES - PROSPECTIVE-STUDY 131 CASES

Laparoscopic staging and laparoscopic treatment of gastrointestinal ma lignancy is still controversial because some studies report port-site metastases. Background. The aim of the study is to determine in 131 pa tients, with prospective follow-up, after laparoscopic staging or lapa roscopic treatment the incidence of port-site metastases. Methods. 131 patients, with gastro intestinal malignancy, proved or with peritonea l carcinomatis or liver metastases, were included. In 57 cases only la paroscopic staging is performed in 49 cases laparotomic treatment is p erformed after laparoscopic staging ; in 57 cases (43.5 percent) tumor invaded serosa. Results. The median follow-up was 17.7 months (3 to 6 2 months). 502 port-sites were controlled. One patient (0.7%) has pres ented one port site metastasis 3 months after right colectomy for carc inoma with local carcinomatis. Conclusion. The study affirm that port- site metastases are rare. They are favorised by serosa invasion. The l ow rate indulge in laparoscopic staging to recognize occults lesions w hich are not detected by conventionals examinations in 44.2 percent in this study.