[Comparative study on the exfoliative cytology of intraoperative peritoneal lavage in patients with rectal cancer pre- and post-tumor resection].
OBJECTIVE
To investigate the clinical value of sequential intraoperative peritoneal lavage in reducing the positive rate of peritoneal exfoliated tumor cells.


METHODS
Six sequential intraoperative peritoneal lavages were performed in each of the 63 patients with rectal cancer, with three before resection and three post resection, which were then compared by using cytological smear examination.


RESULTS
Exfoliated tumor cells were positive in the first three intraoperative peritoneal lavages of all the 63 patients before resection. The cytological smear examination of the three peritoneal lavage fluids after excision revealed that 40 cases were positive at the first lavage, 33 at the second and 13 at the third. The positive rate between the first and the second post-resection peritoneal lavages showed no significant difference (P>0.05), while the positive rate of the third lavage was significantly lower than the second after resection (P<0.01).


CONCLUSIONS
Sequential intraoperative peritoneal lavages is a useful method in reducing the positive rate of peritoneal exfoliated tumor cells in patients with rectal cancer.
Chen
Hua-rong
HR
Department of Anus and Rectum Surgery, The Eighth Hospital of Wuhan, Wuhan 430010, China. nchen888@wh.gwbn.com.cn
Chen
Ji-gui
JG
Zhan
Bi-long
BL
Zhang
Yu-xing
YX
D000328:Adult; D000368:Aged; D003584:Cytological Techniques / Q000379:methods; D005260:Female; D006801:Humans; D007432:Intraoperative Period; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D010533:Peritoneal Lavage; D012004:Rectal Neoplasms / Q000473:pathology* / Q000601:surgery