ABSTRACT
Robot-assisted laparoscopic radical prostatectomy is one of the treatment options
for localized prostate cancer, with an excellent disease control rate. However, these
patients can experience late disease recurrence with metastatic dissemination. Peritoneal
metastases are an uncommon recurrence site. Here, we discuss 3 cases of peritoneal
metastases following robot-assisted laparoscopic radical prostatectomy and the mechanisms
of peritoneal invasion. Through a literature review and our case reports, we postulate
the existence of 2 distinct mechanisms of peritoneal invasion: one being iatrogenic,
following a laparoscopic surgery with a well differentiated prostate cancer at a nonadvanced
stage of the disease, the other involving the natural course of poor-prognosis tumors,
even without surgery.
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Article info
Publication history
Published online: December 05, 2019
Accepted:
November 3,
2019
Received:
June 30,
2019
Identification
Copyright
© 2019 Elsevier Inc. All rights reserved.
