El-Tabey Nasr A, Shoma Ahmed M
Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.
Urology. 2005 Nov;66(5):1110. doi: 10.1016/j.urology.2005.05.048.
Laparoscopy has become a well-established alternative to open surgery for the management of many urologic tumors. Metastases at one of the port sites is not a common complication, though there are some reports of port site metastases after laparoscopic management for renal tumors and pelvicaliceal tumors, as well as after laparoscopic lymphadenectomy. Herein, we report a case of port site metastases after robot-assisted laparoscopic radical cystectomy for muscle-invasive bladder cancer. To the best of our knowledge this is the first case of such pathology to be reported. Although rare, the laparoscopic surgeon should be aware of such complications when dealing with malignant masses.
腹腔镜检查已成为许多泌尿外科肿瘤开放手术的成熟替代方法。端口部位转移并非常见并发症，不过有一些关于肾肿瘤和肾盂肿瘤腹腔镜治疗后以及腹腔镜淋巴结清扫术后端口部位转移的报道。在此，我们报告一例机器人辅助腹腔镜根治性膀胱切除术治疗肌层浸润性膀胱癌后发生端口部位转移的病例。据我们所知，这是首例此类病理情况的报道。尽管罕见，但腹腔镜外科医生在处理恶性肿块时应意识到此类并发症。
