Bonjer H J, Lange J F, Jansen A, Schouten W R, Jakimowicz J, Cuesta Valentin M A, Jeekel J
Academisch Ziekenhuis Rotterdam-Dijkzigt, afd. Algemene Heelkunde, Rotterdam.
Ned Tijdschr Geneeskd. 1997 Sep 27;141(39):1868-70.
Abdominal wall metastases after laparoscopic resection of colorectal cancer have been reported by various authors. It appeared that abdominal wall metastases occur more frequently after laparoscopic than after conventional, open resection of colorectal cancer. However, the frequency of abdominal wall metastases after laparoscopic surgery varies from only 0 to 1.9% in centres with sufficient relevant experience, whereas after conventional resections the frequency is 0.8-3.3%. A randomized clinical study comparing laparoscopic with conventional resection of colon cancer is necessary to assess the optimal surgical approach to colon cancer. Such a trial has been set up.
多位作者报告了腹腔镜结直肠癌切除术后腹壁转移的情况。似乎与传统开放性结直肠癌切除术后相比，腹腔镜手术后腹壁转移更为常见。然而，在有足够相关经验的中心，腹腔镜手术后腹壁转移的发生率仅在0至1.9%之间变化，而传统切除术后的发生率为0.8 - 3.3%。有必要进行一项比较腹腔镜与传统结肠癌切除术的随机临床研究，以评估结肠癌的最佳手术方式。这样一项试验已经启动。
