Skip to main content
Log in

Port-site recurrence following video-assisted thoracoscopic surgery

  • Case Reports
  • Published:
Surgical Endoscopy Aims and scope Submit manuscript

Abstract

Video-assisted thoracoscopic surgery (VATS) is an established modality in the management of pleural diseases. We report a case of port-site recurrence following management of malignant pleural effusion in an elderly patient with extensive pleural metastasis from adenocarcinoma of the lung. Although her shortness of breath was relieved following VAT decortication and talc insufflation, at 3 months she was found to have a 2.5-cm subcutaneous nodule at the camera port site which on biopsy was confirmed to be metastatic in nature. Even though the nodule was asymptomatic and the patient prognosis was not affected, it is important that both the surgeon and future patients should be aware of this potential complication.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Alexander RJ, Jaques BC, Mitchell KG (1993) Laparoscopically assisted colectomy and wound recurrence. Lancet 341: 249–250

    Google Scholar 

  2. Fry WA, Siddiqui A, Pensler JM, Mostafavi H (1995) Thoracoscopic implantation of cancer with a fatal outcome. Ann Thorac Surg 59: 42–45

    Google Scholar 

  3. Fusco MA, Paluzzi MW (1993) Abdominal wall recurrence after laparoscopic-assisted colectomy for adenocarcinoma of the colon. Dis Colon Rectum 36: 858–861

    Google Scholar 

  4. Hartman DL, Gaither JM, Kesler KA, Mylet DM, Brown JW, Mathur PN (1993) Comparison of insufflated talc under thoracoscopic guidance with standard tetracycline and bleomylin pleurodesis for control of malignant pleural effusions. J Thorac Cardiovasc Surg 105: 743–748

    Google Scholar 

  5. Jacobaeus HC (1922) The practical importance of thoracoscopy in surgery of the chest. Surg Gynecol Obstet 34: 289–296

    Google Scholar 

  6. Kaiser LR, Bavaria JE (1993) Complication of thoracoscopy. Ann Thorac Surg 56: 796–798

    Google Scholar 

  7. Kirby TJ, Mack MJ, Landreneau RJ, Rice TW (1993) Initial experience with video assisted thoracoscopic lobectomy. Ann Thorac Surg 56: 1248–1253

    Google Scholar 

  8. LoCicero J (1993) Thoracoscopic management of malignant pleural effusion. Ann Thorac Surg 56: 641–643

    Google Scholar 

  9. McKenna RJ (1994) Lobectomy by video assisted thoracic surgery with mediastinal node sampling for lung cancer. J Thorac Cardiovasc Surg 107: 879–882

    Google Scholar 

  10. Murthy SM, Goldschmidt RA, Rao LN, Ammirati M, Buchmann T, Scanlon GF (1989) The influence of surgical trauma on experimental metastasis. Cancer 64: 2023–2044

    Google Scholar 

  11. Nduka CC, Monson JRT, Menzies-Grow N, Darzi A (1994) Abdominal wall metastases following laparoscopy. Br J Surg 81: 648–652

    Google Scholar 

  12. O'Rourke N, Price PM, Kelly S, Sikora K (1993) Tumor inoculation during laparoscopy. Lancet 342: 368

    Google Scholar 

  13. Seyfer AE, Walsh DS, Graeber GM, Nuno IN, Eliasson AH (1989) Chest wall implantation of lung cancer after thin-needle aspiration biopsy. Ann Thorac Surg 48: 284–286

    Google Scholar 

  14. Thomas CG (1961) Tumor cell contamination of the surgical wound (experimental and clinical observations). Ann Surg 153: 697–705

    Google Scholar 

  15. Thurer RL (1993) Video assisted thoracic surgery [Letter]. Ann Thorac Surg 56: 199–200

    Google Scholar 

  16. Voravud N, Shin DM, Dekmizian RH, Dimery L, Lee JS, Hong WK (1992) Implantation metastasis of carcinoma after fine needle aspiration biopsy. Chest 102: 313–315

    Google Scholar 

  17. Walsh DCA, Wattchow DA, Wilson TG (1993) Subcutaneous metastases after laparoscopic resection of malignancy. Aust N Z J Surg 63: 563–565

    Google Scholar 

  18. Walsh GL, Nesfitt JC (1995) Tumor implants after thoracoscopic resection of a metastatic sarcoma. Ann Thorac Surg 59: 215–216

    Google Scholar 

  19. Yim APC (in press) Minimizing chest wall trauma in video-assisted thoracic surgery [Letter]. J Thorac Cardiovasc Surg

  20. Yim APC, Ho JKS (in press) Malfunctioning of vascular staple cutter during thoracoscopic lobectomy [Letter]. J Thorac Cardiovasc Surg

  21. Yim APC, Ho JK, Lee TW, Chung SS (1995) Thoracoscopic management of pleural effusions revisited. Aust N Z J Surg 65: 308–311

    Google Scholar 

  22. Yim APC, Ho JKS, Chung SS, Low JM, So HY, Lai CK, Chan HS (1994) 163 consecutive video thoracoscopic procedures—the Hong Kong experience. Aust N Z J Surg 64: 671–675

    Google Scholar 

  23. Yim APC, Lin J, Chan ATC, Li CK, Ho JKS (in press) Video assisted thoracoscopic wedge resections of pulmonary metastatic osteosarcoma—should it be performed? Aust N Z J Surg

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Yim, A.P.C. Port-site recurrence following video-assisted thoracoscopic surgery. Surg Endosc 9, 1133–1135 (1995). https://doi.org/10.1007/BF00189005

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00189005

Key words

Navigation