Port-site metastases after diagnostic laparoscopy in advanced ovarian cancer: a case report and a systematic review of the literature - Takeaways - MDSpire

Port-site metastases after diagnostic laparoscopy in advanced ovarian cancer: a case report and a systematic review of the literature

  • By

  • Orazio De Tommasi

  • Sofia Bigardi

  • Giosuè Giordano Incognito

  • Linda Modena

  • Chiara Goretti

  • Giulia Spagnol

  • Carla Ettore

  • Giuseppe Ettore

  • Marco Noventa

  • Carlo Saccardi

  • Roberto Tozzi

  • May 8, 2026

  • 0 min

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  • 1

    Port-site metastases (PSM) can occur after diagnostic laparoscopy in advanced ovarian cancer, posing significant clinical challenges.

  • 2

    The incidence of PSM varies widely, reported between 1.18% and 46.7%, influenced by detection methods and study designs.

  • 3

    Risk factors for PSM include advanced FIGO stage, large-volume ascites, extensive peritoneal disease, and institutional expertise.

  • 4

    Routine port-site resection can achieve local control but increases wound-related morbidity without improving survival outcomes.

  • 5

    Diagnostic laparoscopy remains a safe and cost-effective procedure for advanced ovarian cancer when performed in specialized centers.

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