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Port‑site metastasis as a primary complication following retroperitoneal laparoscopic radical resection of renal pelvis carcinoma or nephron‑sparing surgery: A report of three cases and review of the literature

  • Authors:
    • Ning Wang
    • Kai Wang
    • Dachuan Zhong
    • Xia Liu
    • Ji Sun
    • Lianxiang Lin
    • Linna Ge
    • Bo Yang

  • View Affiliations

  • Published online on: May 6, 2016     https://doi.org/10.3892/ol.2016.4541
  • Pages: 3933-3938

  • Copyright: © Wang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

The present study reports the clinical data of two patients with renal pelvis carcinoma and one patient with renal carcinoma who developed port‑site metastasis following retroperitoneal laparoscopic surgery. The current study aimed to identify the cause and prognosis of the occurrence of port‑site metastasis subsequent to laparoscopic radical resection of renal pelvis carcinoma and nephron‑sparing surgery. Post‑operative pathology confirmed the presence of high‑grade urothelial cell carcinoma in two patients and Fuhrman grade 3 renal clear cell carcinoma in one patient. Port‑site metastasis was initially detected 1‑7 months post‑surgery. The two patients with renal pelvis carcinoma succumbed to the disease 2 and 4 months following the identification of the port‑site metastasis, respectively, whereas the patient with renal carcinoma survived with no disease progression during the targeted therapy period. The occurrence of port‑site metastasis may be attributed to systemic and local factors. Measures to reduce the development of this complication include strict compliance with the operating guidelines for tumor surgery, avoidance of air leakage at the port‑site, complete removal of the specimen with an impermeable bag, irrigation of the laparoscopic instruments and incisional wound with povidone‑iodine when necessary, and enhancement of the body's immunity. Close post‑operative follow‑up observation for signs of recurrence or metastasis is essential, and systemic chemotherapy may be required in patients with high‑grade renal pelvis carcinoma and renal carcinoma in order to prolong life expectancy.
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June-2016
Volume 11 Issue 6

Print ISSN: 1792-1074
Online ISSN:1792-1082

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  • Impact Factor: 2.5
  • Ranked Oncology
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  • CiteScore: 5.7
  • CiteScore Rank: Q2: #139/404 Oncology
  • Source Normalized Impact per Paper (SNIP): 0.574
  • SCImago Journal Rank (SJR): 0.644
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Spandidos Publications style
Wang N, Wang K, Zhong D, Liu X, Sun J, Lin L, Ge L and Yang B: Port‑site metastasis as a primary complication following retroperitoneal laparoscopic radical resection of renal pelvis carcinoma or nephron‑sparing surgery: A report of three cases and review of the literature. Oncol Lett 11: 3933-3938, 2016.
APA
Wang, N., Wang, K., Zhong, D., Liu, X., Sun, J., Lin, L. ... Yang, B. (2016). Port‑site metastasis as a primary complication following retroperitoneal laparoscopic radical resection of renal pelvis carcinoma or nephron‑sparing surgery: A report of three cases and review of the literature. Oncology Letters, 11, 3933-3938. https://doi.org/10.3892/ol.2016.4541
MLA
Wang, N., Wang, K., Zhong, D., Liu, X., Sun, J., Lin, L., Ge, L., Yang, B."Port‑site metastasis as a primary complication following retroperitoneal laparoscopic radical resection of renal pelvis carcinoma or nephron‑sparing surgery: A report of three cases and review of the literature". Oncology Letters 11.6 (2016): 3933-3938.
Chicago
Wang, N., Wang, K., Zhong, D., Liu, X., Sun, J., Lin, L., Ge, L., Yang, B."Port‑site metastasis as a primary complication following retroperitoneal laparoscopic radical resection of renal pelvis carcinoma or nephron‑sparing surgery: A report of three cases and review of the literature". Oncology Letters 11, no. 6 (2016): 3933-3938. https://doi.org/10.3892/ol.2016.4541