结肠癌手术治疗值得关注的若干问题  

Some noteworthy issues about surgery for colon cancer

作　　者：万德森[1] 

机构地区：[1]中山大学肿瘤防治中心,广东广州510080

出　　处：《中国实用外科杂志》2011年第6期466-469,共4页Chinese Journal of Practical Surgery

摘　　要：基于结肠癌手术效果尚不够理想、术后复发率高且常伴有急性肠梗阻,因此结肠癌手术治疗中除遵循一般外科原则外,尚要求有严格无瘤观念和预防肿瘤播散的综合治疗观念。结肠癌手术中应重点关注手术切除范围、肝转移的探查与切除、腹膜播散的预防与治疗、伴有肠梗阻的肠切除与吻合以及术中化疗等问题。Based on the fact that surgical outcome for colon cancer is not promising due to a high recurrence or metastasis rate, and that acute bowel obstruction is often presented in patients with colon cancer, a surgical resection for colon cancer requires strictly stick to the tumor-free principle for cancer surgery to avoid iatrogenic tumor spread during operation, as well as the common principles of general surgery. Some noteworthy issues about colectomy for cancer, including resection area, detection and resection of liver metastasis, prevention and management of peritoneal carcinomatosis, resection and anastomosis for obstructing bowel, and intra-operative chemotherapy should be emphasized on.

关 键 词：结肠癌 肝转移 腹膜播散 术中化疗 

分 类 号：R6[医药卫生—外科学]