多原发性大肠癌的外科治疗（附同时性多原发性大肠癌1例临床分析）  

Surgical Treatment for Multiple Primary Colorectal Cancer：A Report of One Case

作　　者：张东臣[1] 俞林[2] 

机构地区：[1]天津中医药大学,天津300193 [2]天津市人民医院肛肠科,天津300121

出　　处：《中国肛肠病杂志》2013年第9期17-19,共3页Chinese Journal of Coloproctology

摘　　要：报告1例同时性多原发性大肠癌并探讨多原发性大肠癌的外科治疗，查阅近年国内外有关多原发性大肠癌外科治疗相关参考文献，并对1例同时性多原发性大肠癌的外科治疗进行分析。结果显示，结肠镜联合术中全结直肠探查可提高多原发癌的诊断准确率，早期诊断并行根治性切除能提高患者的生存率。结果表明，完整的术前检测、术中仔细探查和术后定期的随访监督是治疗多原发性大肠癌的关键。This paper was to discuss surgical treatment for multiple primary colorectal cancer（MPCC） with a report of one case. Domestic and foreign literature was reviewed on surgery recent years for MPCC, and an analysis was carried out on one case of synchronous carcinoma treated surgically. The results showed that coloscopy with complete colorectal exploration in operation can enhance the diagnostic rate of MPCC; early diagnosis and radical excision can improve the patientJs survival rate. It is concluded that comprehen- sive preoperative detection, careful intraoperative exploration and regular postoperative follow-up and su- pervision are the key to MPCC treatment.

关 键 词：大肠癌 多原发性 外科治疗 

分 类 号：R735.34[医药卫生—肿瘤]