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[结直肠癌手术中的腹腔内肿瘤种植——腹腔镜与开放手术比较的随访]

[Intraperitoneal tumor seeding in colorectal carcinoma surgery--follow-up of a comparison of laparoscopic versus open procedure].

作者信息

Buchmann P, Christen D, Buschta G, Sartoretti C

机构信息

Chirurgische Klinik, Zürich.

出版信息

Langenbecks Arch Chir Suppl Kongressbd. 1997;114:1122-4.

PMID:9574353
Abstract

Follow-up 71 patients during 20 months (12-29) operated on for colorectal cancer by laparoscopic or open surgery demonstrated no correlation between port-side metastases (1/35) or tumor recurrences (5/71) and intraperitoneal tumor cells. All these patients were cytologic-negative; however, all were initial in an advanced tumor stage (pT3-4, N1-3). We conclude from these results that free tumor cells during operation do not seem to influence outcome or the development of port-side metastases.

摘要

对71例接受腹腔镜或开放手术治疗的结直肠癌患者进行了20个月(12 - 29个月)的随访,结果显示端口侧转移(1/35)或肿瘤复发(5/71)与腹腔内肿瘤细胞之间无相关性。所有这些患者细胞学检查均为阴性;然而,所有患者最初均处于肿瘤晚期(pT3 - 4,N1 - 3)。从这些结果我们得出结论,手术期间游离的肿瘤细胞似乎不会影响预后或端口侧转移的发生。

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