Department of Obstetrics and Gynecology, West China Second Hospital, Sichuan University, Renmin South Road, Chengdu, 610041, China.
Key Laboratory of Birth defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, China.
BMC Womens Health. 2024 Sep 6;24(1):494. doi: 10.1186/s12905-024-03353-z.
Postoperative wound recovery following laparotomy for port-site metastasis (PSM) resection is a concern. Reports indicate that wound healing disorders occur in patients with PSM. The challenges associated with PSM resection include the complete removal of the lesion, ensuring rapid wound healing, and maintaining the integrity of the abdominal wall. To date, there have been no reports on a minimally invasive approach for PSM resection following ovarian cancer through the inner side of the abdominal wall.
A 66-year-old G2P1 patient with a history of high-grade serous ovarian adenocarcinoma IIA presented with two abdominal wall masses, suspected to be PSM. She underwent laparoscopic resection of the lesions under general anesthesia. The excised masses measured approximately 10 cm and 5 cm, and margins were negative. The surgery lasted 1 hour and 33 minutes, with minimal intraoperative bleeding and no complications. The postoperative recovery was smooth. No recurrence was observed during the 12-month follow-up.
In our view, laparoscopy may be used as a minimally invasive technique that allows for PSM in the abdominal wall.
剖腹术后切口部位转移（PSM）切除后的伤口恢复令人担忧。有报道称，PSM 患者会出现伤口愈合障碍。PSM 切除的挑战包括完全切除病变、确保伤口快速愈合以及保持腹壁完整性。迄今为止，尚无关于通过腹壁内侧对卵巢癌 PSM 进行微创切除的报道。
一位 66 岁 G2P1 的患者，曾患有 IIA 期高级别浆液性卵巢腺癌，现出现两个腹壁肿块，疑似 PSM。她在全身麻醉下接受了腹腔镜下病变切除术。切除的肿块大小约为 10 厘米和 5 厘米，切缘阴性。手术持续了 1 小时 33 分钟，术中出血少，无并发症。术后恢复顺利。在 12 个月的随访中未观察到复发。
我们认为，腹腔镜检查可以作为一种微创技术，用于腹壁 PSM。
