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腹腔镜结肠癌切除术后腹壁复发的机制

Mechanism of Abdominal Wall Recurrence After Laparoscopic Resection of Colonic Cancers.

作者信息

Savalgi RS

机构信息

Yale University School of Medicine, New Haven, CT, USA

出版信息

Semin Laparosc Surg. 1995 Sep;2(3):158-162. doi: 10.1053/SLAS00200158.

DOI:10.1053/SLAS00200158
PMID:10401079
Abstract

Although abdominal wall recurrence after conventional resection for colon cancer remains a rare event, several reports of trocar site recurrence after laparoscopic oncological procedures have been reported. Although the mechanism is unclear, it appears that local factors are important for trocar recurrence after colorectal cancer procedures. Hematogenous dissemination to the trocar site does not appear to be a primary mechanism. The full realization of port-site recurrence has yet to be uncovered because only a relatively small number of colonic resections have performed laparoscopically for cancer. Prospective studies must include opportunities for both the discovery of trocar site recurrence and documenting this entity carefully.

摘要

尽管结肠癌传统切除术后腹壁复发仍然是罕见事件,但已有数篇关于腹腔镜肿瘤手术套管针穿刺部位复发的报道。虽然其机制尚不清楚,但似乎局部因素在结直肠癌手术后套管针穿刺部位复发中很重要。血行播散至套管针穿刺部位似乎不是主要机制。由于仅有相对少数的结肠癌切除术是通过腹腔镜进行的,套管针穿刺部位复发的全貌尚未被揭示。前瞻性研究必须包括发现套管针穿刺部位复发以及仔细记录这一情况的机会。

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