高级搜索
腹腔镜与开放手术治疗结直肠癌的肿瘤学安全性比较[J]. 肿瘤防治研究, 2008, 35(S1): 12-13. DOI: 10.3971/j.issn.1000-8578.997
引用本文: 腹腔镜与开放手术治疗结直肠癌的肿瘤学安全性比较[J]. 肿瘤防治研究, 2008, 35(S1): 12-13. DOI: 10.3971/j.issn.1000-8578.997
A Comparative Study of Oncology Safety between Laparoscopic Operation and Open Opera2 tion on Patients with Colorectal Tumor[J]. Cancer Research on Prevention and Treatment, 2008, 35(S1): 12-13. DOI: 10.3971/j.issn.1000-8578.997
Citation: A Comparative Study of Oncology Safety between Laparoscopic Operation and Open Opera2 tion on Patients with Colorectal Tumor[J]. Cancer Research on Prevention and Treatment, 2008, 35(S1): 12-13. DOI: 10.3971/j.issn.1000-8578.997

腹腔镜与开放手术治疗结直肠癌的肿瘤学安全性比较

A Comparative Study of Oncology Safety between Laparoscopic Operation and Open Opera2 tion on Patients with Colorectal Tumor

  • 摘要: 目的 评价腹腔镜结直肠癌手术的肿瘤学安全性。方法 选取结直肠癌患者60 例,分为腹腔镜手术组(LC) 和开放手术组(OC) 各30 例,采用双抗体夹心酶联免疫方法( EL ISA) 检测术前和术后不同时期血清血管内皮生长因子(VEGF) 、上皮钙粘素( E2Cadherin) 水平,并比较两组间的差异。结果 术后第7 、10 天OC 组血清VEGF 水平明显高于LC 组,差异有统计学意义( P < 0. 01) ;而血清E2Cadherin 水平LC 组术后缓慢下降,至第10 天达到最低值,OC 组术后亦缓慢下降,至第3 天又缓慢回升,第10 天基本恢复术前水平,两组术后第10 天血清E2Cadherin 水平比较差异有统计学意义( P < 0. 01) 。结论 腹腔镜结直肠癌手术与传统开放手术比较,不会增加肿瘤转移的机会。

     

    Abstract: Objective  To study Safety of oncology on laparoscopy colorectal tumor surgery. Methods  Six2 ty patient s with colorectal tumor were randomized into LC group (laparoscopic colorectal operation) and OC(open colorectal operation), with 30 cases in each group. Enzyme linked immunosorbent assay (EL ISA) was used to detect the level of vascular endothelial growth factor (VEGF) and E2cadherin in ser2 um during the surgery. Results  The serum VEGF level was significant high in the OC group than that in the LC group on postoperative day 7, 10 respectively ( P < 0. 01) . The serum E2Cadherin level in the LC group decreased gradually af ter operation and reached the lowest value on postoperative day 10. Howev2 er, it was found to increase on postoperative day 3 and almost recover the level of preoperation on postop2 erative day 10 in the OC group. There was statistical significance in the serum E2cadherin level between the two group s on postoperative day 10 ( P < 0. 01) . Conclusion  The laparoscopic procedures undergoing colorectal cancer patient s could not raise the possibility of tumor metastasis compared with the conven2 tional open procedures.

     

/

返回文章
返回