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Port-Site and Wound Recurrences in Cancer Surgery

Incidence - Pathogenesis - Prevention

  • Book
  • © 2000

Overview

Editors:
  1. Marc A. Reymond

    1. Department of Surgery, University Hospital of Magdeburg, Magdeburg, Germany

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  2. H. Jaap Bonjer

    1. University Hospital Rotterdam Dijkzigt Hospital, Rotterdam, The Netherlands

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    You can also search for this editor in PubMed   Google Scholar

  3. Ferdinand Köckerling

    1. Hanover Hospital, Hannover, Germany

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    You can also search for this editor in PubMed   Google Scholar

  • Helps laparoscopic surgeons understand and prevent recurrences

  • Helps general surgeons understand mechanisms and extent of port-site recurrences Step by step guide to substantially reduce incidence of port-site recurrence

  • Includes supplementary material: sn.pub/extras

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Table of contents (20 chapters)

  1. Front Matter

    Pages I-XV
    Download chapter PDF

  2. Definition of Port-Site and Wound Recurrences in Cancer Surgery

    • A. Tannapfel, C. Wittekind
    Pages 1-5

  3. A Case Report

    • I. Inan, M. A. Reymond
    Pages 6-7

  4. Abdominal Wall Recurrences in Open Surgery

    • L. Stocchi, H. Nelson
    Pages 8-11

  5. Port-Site Recurrences in Laparoscopic Surgery

    • Ph. Wittich, H. J. Bonjer
    Pages 12-20

  6. Port-Site Recurrences in Thoracoscopic Surgery

    • R. Downey, M. A. Reymond
    Pages 21-25

  7. Port-Site Recurrences in Colon and Rectal Cancers: Randomized Studies

    • T. Sonoda, J. W. Milsom
    Pages 26-28

  8. Pathogenesis: Tumor Cell Lines and Application in Experimental Animal Studies

    • J. W. Fleshman
    Pages 29-43

  9. Pathogenesis: Transportation of Tumor Cells in Animal Studies

    • M. L. Texler, P. J. Hewett
    Pages 44-51

  10. Pathogenesis: Local Effects in the Wound in Animal Studies

    • C. A. Jacobi, H. J. Bonjer
    Pages 52-59

  11. Pathogenesis: Immunological Aspects of Animal Studies

    • S. W. Lee, R. L. Whelan
    Pages 60-68

  12. Pathogenesis: Free Viable Cancer Cells and Cancer Cell Liberation in Clinical Studies

    • P. Buchmann, D. Christen, L. Stocchi, H. Nelson
    Pages 69-73

  13. Pathogenesis: Transportation of Tumor Cells in Clinical Studies

    • M. Pross, K. Ridwelski, M. A. Reymond
    Pages 74-80

  14. Pathogenesis: Immunological Aspects of Clinical Studies

    • D. Mutter, M. Aprahamian
    Pages 81-90

  15. Mechanical Means For Prevention of Trocar Site Cancer Implantation

    • M. E. Franklin Jr., J. A. Díaz-E, J. Balli
    Pages 91-97

  16. Prevention of Port-Site Recurrences: Chemical Measures

    • C. A. Jacobi
    Pages 98-103

  17. Prevention of Port-Site Recurrences: Gasless Laparoscopy and Other Gases

    • S. J. Neuhaus, D. I. Watson
    Pages 104-111

  18. Prevention of Port-Site Recurrences: Role of Therapeutic Pneumoperitoneum

    • K. Ridwelski, M. Pross, M. A. Reymond
    Pages 112-117

  19. Treatment of Port-Site Recurrences

    • F. Köckerling, C. Schug
    Pages 118-123

  20. Illustrated Practical Notes for the Surgeon

    • C. Schneider, C. Schug, F. Köckerling
    Pages 124-128
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Keywords

About this book

During the past 9 years, reports of 'port-site' deposits following laparoscopic surgery for malignancy, especially laparoscopic resection of colonic cancer, have cast a shadow on the wisdom of the laparoscopic approach in the surgical man­ agement in patients with cancer. Those reports of port-site deposits, some 90 cases reported in the literature up to 1999, have opened a 'can of worms' and highlighted the scarcity of our knowledge on cancer cell migration from solid tu­ mors and the factors that underlie their successful implantation in surgical wounds both in the presence and absence of a positive pressure pneumoperito­ neum. The jury is out even in relation to the effect of the healing surgical access wound - do the biochemical and cellular repair processes and the associated growth factors enhance or prevent implantation of exfoliated viable tumor cells? Whatever the answer to this question, it is clear that tumor cells do implant in healing surgical wounds and the key question is whether this is facilitated by lap­ aroscopic surgery with CO pneumoperitoneum compared to the traditional 2 surgical exposure. It is known that tumors shed malignant cells into the blood stream, the peritoneal cavity and in the case of hollow organs, intraluminally. Equally there is good evidence that surgical and instrumental manipulation of tumors induce exfoliation of viable tumor cells.

Editors and Affiliations

  • Department of Surgery, University Hospital of Magdeburg, Magdeburg, Germany

    Marc A. Reymond

  • University Hospital Rotterdam Dijkzigt Hospital, Rotterdam, The Netherlands

    H. Jaap Bonjer

  • Hanover Hospital, Hannover, Germany

    Ferdinand Köckerling

Bibliographic Information

  • Book Title: Port-Site and Wound Recurrences in Cancer Surgery

  • Book Subtitle: Incidence - Pathogenesis - Prevention

  • Editors: Marc A. Reymond, H. Jaap Bonjer, Ferdinand Köckerling

  • DOI: https://doi.org/10.1007/978-3-642-57028-5

  • Publisher: Springer Berlin, Heidelberg

  • eBook Packages: Springer Book Archive

  • Copyright Information: Springer-Verlag Berlin Heidelberg 2000

  • Hardcover ISBN: 978-3-540-66929-6Published: 24 March 2000

  • Softcover ISBN: 978-3-642-63117-7Published: 21 November 2012

  • eBook ISBN: 978-3-642-57028-5Published: 06 December 2012

  • Edition Number: 1

  • Number of Pages: XV, 136

  • Number of Illustrations: 14 b/w illustrations

  • Topics: Surgery, Gastroenterology, Oncology

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