PORT SITE RECURRENCE AFTER LAPAROSCOPIC RESECTION OF RETROPERITONEAL LIPOSARCOMA

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Accepted for publication September 5, 1997. * Fkgests for reprinta: Department of Urolo School of Medi10 Umversity, 35 Shinanomachi, Shinjgh-ku, Tokyo 160, cine, Japan. noma (fig. 1, A). The tumor, which was resected by laparoscopy assisted surgery using 5 ports, was found just behind the cecum, trapped in a plastic sac and removed through an additional pararectal incision. The surgical specimen weighed 380 gm. and measured 10 X 10 X 7.5 cm. Histologically, the tumor was diagnosed as myxoid liposarcoma (fig. 1, B). At 2-year followup a subcutaneous mass was palpable at the right lower abdominal wall. CT revealed a tumor at the laparoscopic port site (fig. 2, A). NO other metastasis or local recurrence was found. An incision was made above the tumor, which was under the external abdominal oblique muscle and did not extend to the transversalis fascia. The tumor was adherent strongly to the abdominal fascia and severe scars had formed around the tumor, suggesting that it had grown at a port site of the previous laparoscopic operation. Abdominal fascia was partially resected with the

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  • Journal of Urology

    Journal of Urology 159 1296-1297, 1998-04-01

    Ovid Technologies (Wolters Kluwer Health)

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