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首页> 外文期刊>Surgical Endoscopy >Laparoscopy and unsuspected intra-abdominal malignancy with rapid peritoneal spread.
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Laparoscopy and unsuspected intra-abdominal malignancy with rapid peritoneal spread.

机译：腹腔镜检查和未经怀疑的腹腔内恶性肿瘤，腹膜迅速扩散。

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摘要

Use of the laparoscopic approach for intra-abdominal malignancy remains controversial because there have been multiple reports of tumor metastases at port sites after laparoscopy. Although several randomized trials have documented no difference in recurrence rates between laparoscopic and open surgery, there are still many questions about the behavior of tumor cells in laparoscopic conditions. The speed of tumor spread and time to recurrence appear to be variable. Abdominal insufflation and other effects of laparoscopy are only now being delineated. It is not clear whether tumor characteristics, preoperative tumor stage, or the laparoscopic milieu itself affect tumor spread during and after laparoscopic surgery. We present an unusual case of very rapid tumor dissemination in a young patient who underwent diagnostic laparoscopy.
机译：腹腔镜手术治疗腹腔内恶性肿瘤仍存在争议，因为腹腔镜手术后在港口部位有许多肿瘤转移的报道。尽管几项随机试验已证明腹腔镜手术与开腹手术之间的复发率没有差异，但是仍然存在许多关于腹腔镜手术条件下肿瘤细胞行为的问题。肿瘤扩散的速度和复发时间似乎是可变的。腹腔镜检查和腹腔镜检查的其他作用现在才被划定。尚不清楚肿瘤特征，术前肿瘤分期或腹腔镜环境本身是否会影响腹腔镜手术期间和之后的肿瘤扩散。我们提出了在接受诊断性腹腔镜检查的年轻患者中非常快速的肿瘤扩散的罕见病例。

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