PMID: 8602804Feb 1, 1996Paper

A proposed model for the movement of cells within the abdominal cavity during CO2 insufflation and laparoscopy

The Australian and New Zealand Journal of Surgery
W M ThomasP J Hewett

Abstract

The application of laparoscopic-assisted surgery to gastrointestinal malignancy has lead to the recurrence of malignancy in wounds created during these procedures by laparoscopic ports. Possible mechanisms of this complication have been studied in an in vitro model. Using filter systems, we have examined the expelled carbon dioxide used during laparoscopy and the laparoscopic ports and instruments for the presence of malignant cells. No malignant cells were identified in the exhaust CO2 examined, whereas all instruments and laparoscopic ports were contaminated by malignant cells. These findings suggest that direct contamination by the instruments and ports and not dispersion of malignant cells by CO2 is the route by which port seeding of tumour cells occurs.

References

Sep 1, 1983·Diseases of the Colon and Rectum·E S HughesW R Johnson
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Citations

Aug 1, 1997·Diseases of the Colon and Rectum·R A AllardyceP F Bagshaw
Apr 22, 1999·Diseases of the Colon and Rectum·S J NeuhausG G Jamieson
Jul 20, 1999·Diseases of the Colon and Rectum·P J HewettB E Chatterton
Oct 8, 2003·Gynecologic Oncology·Pedro T RamirezCharles Levenback
May 20, 1998·Surgery·S J NeuhausG G Jamieson
Mar 18, 2005·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Chandrakanth Are, Mark A Talamini
May 19, 2000·European Journal of Obstetrics, Gynecology, and Reproductive Biology·M CanisM A Bruhat
Jul 17, 1998·The British Journal of Surgery·S J NeuhausD I Watson
Jun 7, 2003·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·I LindseyN J Mortensen
Jun 26, 2002·The British Journal of Surgery·S BrundellP J Hewett
May 20, 1999·Seminars in Surgical Oncology·D B PearlstoneP F Mansfield
Mar 8, 2000·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·W HofstetterR W Beart
Jun 1, 1997·The British Journal of Surgery·E L BokeyR C Newland
Oct 13, 1998·The Australian and New Zealand Journal of Surgery·M L TexlerP J Hewett
May 2, 2000·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·K SuzukiH Ogawa

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