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结直肠癌的外科治疗:我们的经验

Colorectal Cancer Surgical Treatment, our Experience.

作者信息

Salibasic Mirhan, Pusina Sadat, Bicakcic Emir, Pasic Anes, Gavric Igor, Kulovic Edin, Rovcanin Ajdin, Beslija Semir

机构信息

Clinic for General and Abdominal Surgery, Clinical center University of Sarajevo.

出版信息

Med Arch. 2019 Dec;73(6):412-414. doi: 10.5455/medarh.2019.73.412-414.

Abstract

INTRODUCTION

Colorectal cancer is the third most common cancer in the male and female population. Surgical treatment of colorectal cancer is based on tumor resection and removal of associated lymph glands.

AIM

The aim of the paper is to present data from a five-year retrospective study of the surgical treatment of colorectal cancer at the Clinic for General and Abdominal Surgery at the Clinical Center of the University of Sarajevo.

METHODS

This is a retrospective five-year clinical trial (2014-2018) of patients with and surgically treated for colorectal cancer at the Clinic for General and Abdominal Surgery at the Clinical Center of Sarajevo University.

RESULTS

In the 2014-2018 period, n = 11 172 patients were hospitalized at the Clinic, of which n = 732 were surgically treated for colorectal cancer. 69.80% were operated in an elective program. 30.20% were made as emergencies. 51.09% were male patients and 48.36% were female patients. 97.20% were made by open technique. 2.10% operated by minimally invasive procedure. the most common type of colon tumor is Adenocarcinomas are the most common with 79%.

CONCLUSIONS

Better prevention and early detection are required to reduce the incidence of patients, which ultimately leads to more effective treatment and longer survival of colon cancer patients. Operative surgical principles must be adapted to modern trends, minimally invasive procedures (laparoscopic surgery, robotic surgery).

摘要

引言

结直肠癌是男性和女性人群中第三常见的癌症。结直肠癌的外科治疗基于肿瘤切除及相关淋巴结清扫。

目的

本文旨在展示萨拉热窝大学临床中心普通及腹部外科诊所对结直肠癌进行外科治疗的五年回顾性研究数据。

方法

这是一项对萨拉热窝大学临床中心普通及腹部外科诊所结直肠癌患者进行外科治疗的回顾性五年临床试验(2014 - 2018年)。

结果

在2014 - 2018年期间,该诊所收治住院患者n = 11172例,其中n = 732例接受了结直肠癌外科治疗。69.80%的患者接受择期手术,30.20%为急诊手术。男性患者占51.09%,女性患者占48.36%。97.20%的手术采用开放技术,2.10%采用微创手术。最常见的结肠肿瘤类型是腺癌,占79%。

结论

需要更好的预防和早期检测以降低患者发病率,这最终将导致结肠癌患者得到更有效的治疗和更长的生存期。手术原则必须适应现代趋势,即微创手术(腹腔镜手术、机器人手术)。

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