69 Prevalence of port-site metastasis in laparoscopic surgeries for gynecologic cancers and its risk factors: A systematic review and meta analysis
Objectives/Goals: Port-site metastasis (PSM), defined as the spread of malignancies to the abdominal wall at the site of surgical ports, poses a significant challenge in cancer management. The objective of this summary overview is to describe the prevalence of and risk factors associated with PSM in...
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| Language: | English |
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Cambridge University Press
2025-04-01
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| Series: | Journal of Clinical and Translational Science |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2059866124007489/type/journal_article |
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| author | Zahra Najmi Annekathryn Goodman |
| author_facet | Zahra Najmi Annekathryn Goodman |
| author_sort | Zahra Najmi |
| collection | DOAJ |
| description | Objectives/Goals: Port-site metastasis (PSM), defined as the spread of malignancies to the abdominal wall at the site of surgical ports, poses a significant challenge in cancer management. The objective of this summary overview is to describe the prevalence of and risk factors associated with PSM in various gynecological cancers after laparoscopic surgery. Methods/Study Population: Study design: Systematic Review and Meta analysis Search strategy: All international databases, without language limitations, from January 1990 to December 2023. Inclusion/exclusion criteria: Cohort, case–control, or cross-sectional observational studies reporting the frequency of, or risk factors for PSM in young and middle-aged women will be included (using the PRISMA checklist). Data extraction: two reviewers independently extracting pertinent data (using the STROBE checklist). Quality assessment and risk of bias: The quality of each study will be assessed according to the Quality Assessment Tool for Observational Studies. Results/Anticipated Results: This meta-analysis of 36 studies evaluated the proportion of successes across various populations, with a pooled proportion of 0.02 (95% CI: 0.01–0.02) based on a random-effects model. Significant heterogeneity was identified (I² = 88.12%), reflecting notable variability between studies. Despite this, the overall effect was statistically significant (p = 0.00). A subgroup analysis will be conducted to explore potential sources of heterogeneity, considering factors such as cancer stage, diagnostic methods, surgical approach (conventional or robotic), and study type (retrospective/prospective). Discussion/Significance of Impact: By identifying the prevalence of, and the risk factors for, PSM, this study will better inform personalized treatment approaches, surveillance strategies, and surgical decision-making to improve patient-related outcomes and long-term survival in women with gynecological malignancies. |
| format | Article |
| id | doaj-art-46d9e4b8a336494c9e0e181c22cac739 |
| institution | Kabale University |
| issn | 2059-8661 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Journal of Clinical and Translational Science |
| spelling | doaj-art-46d9e4b8a336494c9e0e181c22cac7392025-08-20T03:40:18ZengCambridge University PressJournal of Clinical and Translational Science2059-86612025-04-019212210.1017/cts.2024.74869 Prevalence of port-site metastasis in laparoscopic surgeries for gynecologic cancers and its risk factors: A systematic review and meta analysisZahra Najmi0Annekathryn Goodman1Tufts University, CTSIHarvard Medical schoolObjectives/Goals: Port-site metastasis (PSM), defined as the spread of malignancies to the abdominal wall at the site of surgical ports, poses a significant challenge in cancer management. The objective of this summary overview is to describe the prevalence of and risk factors associated with PSM in various gynecological cancers after laparoscopic surgery. Methods/Study Population: Study design: Systematic Review and Meta analysis Search strategy: All international databases, without language limitations, from January 1990 to December 2023. Inclusion/exclusion criteria: Cohort, case–control, or cross-sectional observational studies reporting the frequency of, or risk factors for PSM in young and middle-aged women will be included (using the PRISMA checklist). Data extraction: two reviewers independently extracting pertinent data (using the STROBE checklist). Quality assessment and risk of bias: The quality of each study will be assessed according to the Quality Assessment Tool for Observational Studies. Results/Anticipated Results: This meta-analysis of 36 studies evaluated the proportion of successes across various populations, with a pooled proportion of 0.02 (95% CI: 0.01–0.02) based on a random-effects model. Significant heterogeneity was identified (I² = 88.12%), reflecting notable variability between studies. Despite this, the overall effect was statistically significant (p = 0.00). A subgroup analysis will be conducted to explore potential sources of heterogeneity, considering factors such as cancer stage, diagnostic methods, surgical approach (conventional or robotic), and study type (retrospective/prospective). Discussion/Significance of Impact: By identifying the prevalence of, and the risk factors for, PSM, this study will better inform personalized treatment approaches, surveillance strategies, and surgical decision-making to improve patient-related outcomes and long-term survival in women with gynecological malignancies.https://www.cambridge.org/core/product/identifier/S2059866124007489/type/journal_article |
| spellingShingle | Zahra Najmi Annekathryn Goodman 69 Prevalence of port-site metastasis in laparoscopic surgeries for gynecologic cancers and its risk factors: A systematic review and meta analysis Journal of Clinical and Translational Science |
| title | 69 Prevalence of port-site metastasis in laparoscopic surgeries for gynecologic cancers and its risk factors: A systematic review and meta analysis |
| title_full | 69 Prevalence of port-site metastasis in laparoscopic surgeries for gynecologic cancers and its risk factors: A systematic review and meta analysis |
| title_fullStr | 69 Prevalence of port-site metastasis in laparoscopic surgeries for gynecologic cancers and its risk factors: A systematic review and meta analysis |
| title_full_unstemmed | 69 Prevalence of port-site metastasis in laparoscopic surgeries for gynecologic cancers and its risk factors: A systematic review and meta analysis |
| title_short | 69 Prevalence of port-site metastasis in laparoscopic surgeries for gynecologic cancers and its risk factors: A systematic review and meta analysis |
| title_sort | 69 prevalence of port site metastasis in laparoscopic surgeries for gynecologic cancers and its risk factors a systematic review and meta analysis |
| url | https://www.cambridge.org/core/product/identifier/S2059866124007489/type/journal_article |
| work_keys_str_mv | AT zahranajmi 69prevalenceofportsitemetastasisinlaparoscopicsurgeriesforgynecologiccancersanditsriskfactorsasystematicreviewandmetaanalysis AT annekathryngoodman 69prevalenceofportsitemetastasisinlaparoscopicsurgeriesforgynecologiccancersanditsriskfactorsasystematicreviewandmetaanalysis |