引用本文:张贵年,黄顺荣,冯泽荣,秦千子,麦 威,钟晓刚,牙韩清,毕连臣,朱 州,余俊英,韦 斌.无瘤技术在腹腔镜大肠癌根治术中的应用价值[J].中国临床新医学,2010,3(1):29-31.
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无瘤技术在腹腔镜大肠癌根治术中的应用价值
张贵年,黄顺荣,冯泽荣,秦千子,麦 威,钟晓刚,牙韩清,毕连臣,朱 州,余俊英,韦 斌
530021 南宁,广西壮族自治区人民医院胃肠外科
摘要:
[摘要] 目的 探讨无瘤技术在腹腔镜大肠癌根治术中的应用价值。方法 分析34例大肠癌患者实施腹腔镜下大肠癌根治术的临床效果,提出遵循无瘤技术及肿瘤根治术原则。结果 34例(100%)均完成腹腔镜下肿瘤根治术。手术时间为138~246 min,平均为184 min。随访3~24个月,5例(14.7%)复发或转移,均未发现有穿刺鞘部位种植。结论 腹腔镜下大肠癌根治术中只要严格遵循无瘤技术的原则,可取得与开放手术相同的近期疗效。
关键词:  无瘤技术  腹腔镜  大肠癌  根治术
DOI:10.3969/j.issn.1674-3806.2010.01.10
分类号:R 735.3
基金项目:
Application study of tumor-free technique in laparoscopic colorectal cancer radical resection
ZHANG Gui-nian, HUANG Shun-rong, FENG Ze-rong, et al.
Department of Gastrointestinal Surgery, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
Abstract:
[Abstract] Objective To explore the value of the tumor-free technique in laparoscopic colorectal radical resection.Methods The data of 34 cases with colorectal cancer underwent laparoscopic radical resection with tumor-free technique were retrospectively analyzed.Results All the cases (100%)had laparoscopic radical resection successfully. The operation time was 138~246 min, mean 184 min. The trocar site seeding had not been seen, only 5(14.7%) had recurrence or metastasis during a follow-up period of 3 to 24 months.Conclusion The short-term effect of laparoscopic radical resection with tumor-free technique is equal to that of the ordinary open operation.
Key words:  Tumor-free technique  Laparoscopy  Colorectal cancer  Radical resection