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自1985年开始,我们用电灼治疗晚期消化道癌瘤病人腹腔播散性转移11例,疗效良好。 临床资料 男10例,女1例。年龄42～62岁。胃癌10例,升结肠癌1例。原发病灶均已侵出浆膜层,但可行姑息切除。经病理检查证实腹腔中均有直径3cm以下的播散性转移小结多个。转移小结最少7个,多者可达百余个。少数腹膜转移灶呈小面积不规则地图状。无腹腔外远处转移灶。其中1例为胃癌术后腹腔中复发性小结。随访:10例生存,无复发征象。最长已生存23个月,最短5个月,平均生存10.4个月。1例未分化癌术后10个月死于复发。 讨论 一、电灼适应征 1.腹腔中2.5cm直径以下表浅的播散性转移小结和腹膜小面积转移灶,
Since 1985, we have used electrocautery to treat 11 cases of disseminated metastases in patients with advanced gastrointestinal cancer, and the efficacy is good. Clinical data 10 males and 1 female. Age 42 to 62 years old. There were 10 cases of gastric cancer and 1 case of ascending colon cancer. The primary lesions have invaded the serosal layer, but palliative resection is feasible. The pathological examination confirmed that there were multiple disseminated nodules with a diameter of 3 cm or less in the abdominal cavity. There are at least seven transition summations, and more than one hundred. A small number of peritoneal metastases are irregularly map-like. No extraperitoneal distant metastasis. One case was recurrent nodules in the abdominal cavity after gastric cancer surgery. Follow-up: 10 patients survived without recurrence signs. The longest survival is 23 months, the shortest 5 months, the average survival of 10.4 months. One undifferentiated carcinoma died of recurrence 10 months after surgery. Discussion 1. The indication of electrocautery 1. Superficial disseminated nodules and small peritoneal metastases below 2.5cm in the abdominal cavity.