Sternberg Ahud
Department of Surgery A, Hillel Yaffe Medical Center, Hadera, Israel.
J Surg Oncol. 2008 Dec 15;98(8):603-6. doi: 10.1002/jso.21032.
Resection of colonic carcinoma with curative intent must encompass: (1) margins of bowel wall that are wider than the extent of microscopic intramural tumor spread beyond the macroscopic edge of the tumor; (2) lymphatic tissue draining the tumor and possibly containing cancer cells; (3) structures adhering to the tumor and possibly infiltrated by tumor cells. The minimal extent of resection that satisfies these requirements and possible benefits of extending the resection are reviewed.
（1）肠壁切缘要宽于肿瘤镜下壁内扩散范围超出肿瘤肉眼边缘的部分；（2）引流肿瘤且可能含有癌细胞的淋巴组织；（3）与肿瘤粘连且可能被肿瘤细胞浸润的结构。本文回顾了满足这些要求的最小切除范围以及扩大切除可能带来的益处。
