• Vol. 36 No. 10, 875–876
  • 15 October 2007

Multiple Port-site and Subcutaneous Metastases Following Palliative Laparoscopic Surgery for Advanced Gastric Cancer

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Port-site metastasis has been a well-recognised entity in the era of laparoscopy for malignancy since it was first reported in 1978.1 It most often occurs following laparoscopy for colonic, gall bladder and ovarian cancers. Association with gastric cancers is rare. There is a higher incidence of port-site metastasis when the tumour is manipulated. The causes are direct or indirect implantation, the metastatic nature of tumours, surgery-induced immunosuppression and hematogenous spread. The patient was a 53-year-old male, who presented with the classic features of gastric outlet obstruction. Investigations including endoscopy and biopsy were done and the patient was diagnosed to have poorly differentiated adenocarcinoma of the gastric antrum. Diagnostic laparoscopy was planned to assess resectability of the tumour. There were no peritoneal deposits or ascites. The tumour was located in the antrum involving the serosa and was posteriorly fixed to the pancreas, so a palliative laparoscopic antecolic anterior gastrojejunostomy was done.

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