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直肠癌患者腹腔镜手术中淋巴结检出数量的 相关因素研究

何华 谢嵘 党胜春 黄润生 张清 瞿建国 陈吉祥 崔磊

中国内镜杂志2017,Vol.23Issue(12):9-13,5.
中国内镜杂志2017,Vol.23Issue(12):9-13,5.DOI:10.3969/j.issn.1007-1989.2017.12.003

直肠癌患者腹腔镜手术中淋巴结检出数量的 相关因素研究

Study on the related factors of lymph node detection number in rectal cancer patients underwent laparoscopic surgery

何华 1谢嵘 1党胜春 1黄润生 1张清 1瞿建国 1陈吉祥 1崔磊1

作者信息

  • 1. 江苏大学附属医院 胃肠外科,江苏 镇江 212001
  • 折叠

摘要

Abstract

Objective To investigate the related factors of lymph node detection number in rectal cancer patients underwent laparoscopic surgery. Methods 98 patients with rectal cancer who underwent laparoscopic surgery were selected from January 2014 to January 2010. All the patients general information [gender, age, body mass index (BMI)], preoperative imaging findings and pathological data (tumor size, gross type, TNM stage, distant metastasis, histological differentiation and depth of invasion, et al), surgery related data (experience of surgeon, operation time) and preoperative radiotherapy and chemotherapy were collected. Results The age, BMI, tumor size, length of specimen, invasive depth, surgeon and preoperative radiotherapy and chemotherapy was correlated with the number of lymph nodes in patients with laparoscopic surgery (P < 0.05), but gender, TNM staging, general type, histological differentiation, operation time were not associated with the number of lymph nodes detected in minimally invasive surgery for rectal cancer (P > 0.05). Multiple linear regression analysis showed that BMI, tumor size, length of specimen, invasive depth, surgeon and preoperative radiotherapy and chemotherapy were the independent influencing factors of lymph node detection in patients with minimally invasive rectal cancer (P < 0.05). Conclusion The factors of patients, tumor status, surgical factors and preoperative chemoradiotherapy are related to the number of lymph nodes in patients with rectal cancer.

关键词

直肠癌/腹腔镜手术/淋巴结/数量/因素

Key words

rectal cancer/laparoscopy/lymph nodes/number/factor

分类

医药卫生

引用本文复制引用

何华,谢嵘,党胜春,黄润生,张清,瞿建国,陈吉祥,崔磊..直肠癌患者腹腔镜手术中淋巴结检出数量的 相关因素研究[J].中国内镜杂志,2017,23(12):9-13,5.

基金项目

镇江市科技计划(社会发展)项目(No:SH2015066) (社会发展)

中国内镜杂志

OACSTPCD

1007-1989

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