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Surgical Management of Isolated Port Site Metastasis Following Robotic Assisted Gynaecological Cancer Surgery – A Case Report

Artem Homer*, Salamatu Abdul-Aziz, Anupama Rajan Babu

Background: Port site recurrence a rare complication of laparoscopic or robotic surgery for gynaecological cancer. The exact mechanism it is not well understood and there are few cases detailing this phenomenon specifically after robotic assisted surgery for gynaecological cancer.
Methods: The authors present a case of isolated port site metastasis in a 49 years-old woman with Stage 1B1 grade 2 endocervical adenocarcinoma following primary robotic radical hysterectomy with lymph node dissection. The recurrence was diagnosed 16 months post primary surgery in the anterior abdominal wall and the lung. Both were resected with clear margins and the patient continued follow up. A further second ipsilateral port site recurrence was diagnosed 81 months after the initial surgery, this was also excised and the abdominal wall reconstructed with mesh.
Conclusion: Isolated port site recurrence can be successfully managed by surgical excision in selected cases, however more research should be done to develop better understanding of the mechanisms and risk factors for port site metastasis in different gynaecological cancers which would in turn help to improve clinical decision making.