结肠癌手术研究进展

Aer Sileng, Yueli Yu
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引用次数: 0

摘要

结肠癌是世界三大恶性肿瘤之一,近年来,该病的发病率和死亡率不断上升,严重威胁着人类的生命健康。目前,手术治疗仍是结肠癌的主要治疗手段,结合化疗等措施可有效提高患者的生存率。不同的手术方法对患者的预后影响不同。就结肠癌术中淋巴结清扫而言,全结肠系膜切除术和 D3 根治性切除术中的淋巴结清扫可明显改善结肠癌的预后。结肠癌的淋巴结转移很常见,出现漏扫转移,淋巴结清扫对患者的预后、肿瘤复发和肿瘤转移都有重要意义。因此,术前必须明确诊断和淋巴结转移情况,确定手术方式和淋巴结清扫范围,避免因肿瘤复发不足或清扫过多引起术后并发症。
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Research progress in colon cancer surgery
Colon cancer is one of the top three malignant tumors in the world, in recent years, the incidence and mortality of this disease are increasing, which seriously threatens human life and health. At present, surgery is still the main treatment for colon cancer, combined with chemotherapy and other measures can effectively improve the survival of patients. Different surgical methods have different prognostic effects on patients. In terms of intraoperative lymph node dissection for colon cancer, lymph node dissection during total mesocolic resection and D3 radical resection has significantly improved prognosis for colon cancer. Lymph node metastasis of colon cancer is common, with the presence of skip metastasis, lymph node dissection is important for the prognosis of patients, tumor recurrence and tumor metastasis. Therefore, it is necessary to make clear the diagnosis and lymph node metastasis before surgery, determine the surgical procedure and the scope of lymph node dissection, so as to avoid postoperative complications caused by inadequate tumor recurrence or excessive clearance.
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