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近年来，结肠癌的治愈性和姑息性切除也已应用腹腔镜技术，一年前曾报道3例腹腔镜右半结肠切除术后发生腹壁癌肿复发，作者介绍第4个腹壁癌肿复发病例。病人为81老年男性，结肠镜检查发现升结肠内一无蒂的肿块，已部分阻塞肠腔，活检示绒毛状腺瘤，伴不典型细胞。于1992年10月行腹腔镜右半结肠切除，作4个套管孔小切口，10～12mm，游
In recent years, laparoscopic techniques have also been used for curative and palliative resection of colon cancer. Three cases of recurrent abdominal wall cancers after laparoscopic right hemicolectomy have been reported a year ago. The authors describe the fourth case of abdominal wall cancer recurrence. . The patient was 81 elderly men. Colonoscopy revealed a peltiform mass in the ascending colon that had partially obstructed the intestinal lumen. A biopsy showed a villous adenoma with atypical cells. In October 1992, a laparoscopic right hemicolectomy was performed for 4 small incisions in the cannula hole, 10 to 12 mm.