【摘要】 目的探讨无瘤技术在腹腔镜直肠癌根治术中的价值。方法 2004年3月至2010年1月,实施腹腔镜直肠癌根治术21例,在遵循肿瘤根治术原则下实施无瘤技术以减少或防止肿瘤细胞的脱落、种植和播散等。结果 21例均完成腹腔镜下肿瘤根治术,所有病例随访12~36个月,仅2例(9.5%)复发或转移,1例为Ⅱ期患者,术后9个月吻合口复发,1例为Ⅲ期患者术后10个月发现肝有转移病灶,均未发现穿刺鞘部位种植。结论严格遵循全直肠系膜切除技术和癌症手术的无瘤原则,采用腹腔镜下直肠癌根治术近期疗效较为确切,远期疗效有待进一步研究。更多还原

【Abstract】 Objective To explore the value of the non-neoplasm touch in laparoscopic radical resection for rectal carcinoma.Methods Analyzed 21 cases with rectal carcinoma performed laparoscopic radical resection with non-neoplasm touch from March 2004 to March 2007.Results All the cases had laparoscopic radical resection successfully.The trocar site seeding had not been seen,only 2(9.5%) had recurrence or metastasis according to the regular visit within 12 to 36 months.Conclusion The effects of laparoscopic radical resection equal the ordinary open operation in the near future with tumor-free technique.更多还原