腹腔镜下组织间置管后装治疗晚期肿瘤(附6例报告)

目的　探讨腹腔镜下组织间置管后装治疗晚期肿瘤的临床价值。　方法　经腹腔镜癌组织间插管行后装治疗晚期肿瘤 6例 ,肝癌 1例 ,前列腺癌 3例 ,直肠癌术后盆腔复发 2例 ,后装于插管后第二天进行 ,放射源为铱 - 192 ,总量为 2 4Gy ,分 4次 ,连续 4天完成。　结果　 1例直肠癌术后盆腔复发病例 ,放疗后肿块显著缩小 ,予以切除 ,达完全缓解 (CR) ,其他 5例达部分缓解 (PR)。　结论　腹腔镜下组织间插管后装治疗晚期肿瘤 ,操作简单、创伤轻微、安全有效、经济适用 ,尤其适用于不能耐受手术和不愿手术的老年患者

Laparoscopic-assisted intubating application of interstitial brachytherapy for locally advanced carcinoma(a report of 6 cases).

Objective To access the clinical value of interstitial brachytherpay in patients with advanced carcinoma. Methods 6 patients(1 case of hepatic cancer,3 cases of prostate cancer,2 cases of local recurrence of rectal cancer)received interstitial high dose rate(Ir-192)brachytherpay with afterloading technique(6.0 Gy/day in 4 days) Tubes were inserted with laparoscopic guidance to minimize the risk of tube misplacement. Results The size of the tumors was reduced and the local control rate was encouraging(6/6). one patient with local recurrence of rectal cancer aquired CR,the ofher five cases acquired PR. Conclusions Interstitial tube insertion with laparoscopic guidance to treat advanced carcinoma in afterloading technique is a simple,minimally invasive,safe and economical method,especially fit for elder patients who intolerate or disagree to operation.