| 腹腔镜直肠癌根治术中肠腔脱落肿瘤细胞的临床研究 |
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| 引用本文： | 宗华,潘凯,夏利刚,陈小春,钟克力,李明伟,林烈文,朱畅.腹腔镜直肠癌根治术中肠腔脱落肿瘤细胞的临床研究[J].腹腔镜外科杂志,2009,14(2). |
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| 作者姓名： | 宗华 潘凯 夏利刚 陈小春 钟克力 李明伟 林烈文 朱畅 |
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| 作者单位： | 暨南大学医学院第二附属医院,深圳市人民医院,广东,深圳,518020 |
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| 摘 要： | 目的:探讨腹腔镜直肠癌根治术中,手术操作对肠腔脱落肿瘤细胞的影响,比较腹腔镜手术和传统开腹直肠癌根治术中直肠腔内肿瘤细胞脱落的差异。方法:2006年5月至2007年12月我院将60例直肠癌患者分为腹腔镜组和开腹组,每组各30例,行对比研究。比较两种手术肠腔灌洗液标本肿瘤细胞的阳性检出率。结果:送检结果中,阳性标本28例,阴性标本32例。其中腹腔镜组阳性标本9例,阳性率30.0%;开腹组阳性标本19例,阳性率63.3%,总阳性率46.7%。数据经四格表资料的χ2检验,腹腔镜组和开腹组标本阳性检出率差异有统计学意义(P=0.010)。结论:腹腔镜直肠癌手术在无瘤技术方面具有可行性和优越性,强调腹腔镜直肠癌根治术在离断远端肠管前,须先行有效肠腔灌洗。
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| 关 键 词： | 腹腔镜术 直肠肿瘤 肠腔灌洗 脱落肿瘤细胞 |
Free malignant cells in the rectum during laparoscopic radical resection of rectal carcinoma |
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| ZONG Hua,PAN Kai,XIA Li-gang,et al..Free malignant cells in the rectum during laparoscopic radical resection of rectal carcinoma[J].Journal of Laparoscopic Surgery,2009,14(2). |
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| Authors: | ZONG Hua PAN Kai XIA Li-gang |
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| Institution: | ZONG Hua,PAN Kai,XIA Li-gang,et al.Dept.of Gastroenterological Surgery,Shenzhen People's Hospital,Shenzhen 518020,China |
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| Abstract: | Objective:This study was performed to investigate the essentiality of reducing exfoliated malignant cells in rectal stump and resisting the local recurrence during rectal tumor laparoscopic management.We compared the efficacy of 1rectal washout between laparoscopic and conventional surgery.Methods:In a prospective,60 rectal cancer patients undergoing an elective,curative operations were assigned to either a laparoscopic or conventional procedure between May 2006 and Nov.2007.In either group(n=30),before cut... |
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| Keywords: | Laparoscopy Rectal neoplasms Rectal washout Exfoliated malignant cells |
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