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自从1987年第一例腹腔镜胆囊切除术(laparoscopiccholecystectomy,LC)成功以后,腹腔镜不仅普遍应用于胆囊切除术中.而且在其它胃肠道外科疾病中也得到了较多的应用,如对胃肠道恶性肿瘤的外科处理,现已运用诊断、分期、早期癌症治疗及缓解晚期疾病等方面.近年来,又新发展起内镜下超声、无气腹腹腔镜及微型腔镜手术等新技术.不仅保留了腹腔镜手术具有的微创、恢复快、痛苦小、对全身免疫系统的干扰较少及术后粘连发生少等优点,又克服了其本身存在的一些缺陷,使之应用范围更广泛,操作更为安全有效.然而,在处理恶性肿瘤的过程中,却出现了穿刺孔种植转移这一术后并发症,本文就近年有关穿刺孔种植转移方面的文献作一综述.
Since the first laparoscopic cholecystectomy (LC) was successfully performed in 1987, laparoscopy has not only been widely used in cholecystectomy, but also has been used in other gastrointestinal surgical diseases, such as the stomach. Surgical treatment of intestinal malignancies has been used in diagnosis, staging, early cancer treatment, and remission of advanced diseases. In recent years, new technologies such as endoscopic ultrasound, non-pneumodern laparoscopy, and micro-endoscopic surgery have been newly developed. Not only retains the advantages of laparoscopic surgery such as minimally invasive, rapid recovery, less pain, less interference with the systemic immune system, and less postoperative adhesions, but also overcomes some of its own defects, making it more applicable Extensive, safer and more effective operation. However, in the process of treatment of malignant tumors, there is a postoperative complication of puncture hole planting and metastasis. This article reviewed recent literature on the implantation of puncture holes.