Port site metastases after robot-assisted surgery: a systematic review

Int J Med Robot. 2013 Dec;9(4):423-7. doi: 10.1002/rcs.1512. Epub 2013 Jun 3.

Abstract

Background: Robotic surgery is a new technique and the aim of this study was to review the available literature on robotic port-site metastasis in oncological patients.

Methods: The results of this study were retrieved after performing a systematic electronic search in PubMed, Scopus and Cochrane databases.

Results: In total 204 patients were included in the study, of which five had robotic port-site metastasis. Their age ranged from 35-77 years. The types of cancers causing port-site metastasis were one squamous cell cervical carcinoma, two cervical adenocarcinomas, one gallbladder carcinoma and one transitional cell bladder carcinoma. The port-site metastasis occurred from 3 weeks up to 18 months postoperatively with the tumor measuring from 1.1 to 10.5 cm.

Conclusions: Port-site metastasis is an extremely rare complication of robotic surgery. No safe conclusion can be drawn, but the aim of this study was to raise doctors' suspicion levels to such a rare new entity.

Keywords: metastasis; port-site; robotic-assisted surgery.

Publication types

  • Meta-Analysis
  • Review
  • Systematic Review

MeSH terms

  • Adult
  • Aged
  • Carcinoma / epidemiology*
  • Carcinoma / secondary*
  • Female
  • Humans
  • Incidence
  • Laparoscopy / statistics & numerical data*
  • Male
  • Middle Aged
  • Neoplasm Seeding*
  • Postoperative Complications / epidemiology*
  • Risk Factors
  • Robotics / statistics & numerical data*
  • Surgery, Computer-Assisted / statistics & numerical data*