Junginger T, Mentges B
Klinik und Poliklinik für Allgemein- und Abdominalchirurgie, Johannes Gutenberg-Universität Mainz.
Langenbecks Arch Chir. 1987;372:481-6. doi: 10.1007/BF01297867.
The principles of radical surgical treatment of carcinomas of the colon are: 1) the en-bloc-resection of tumor, regional lymph nodes and lymph vessels and nearby organs, 2) avoiding of tumor spreading caused by the operation itself. To avoid tumor spreading, there are different kinds of treatment, the value of which are unknown, but which do not rise the risk of the operation. Predisposition for the evaluation of the radical surgical treatment of colon carcinoma is a standard operative technique and a standard pathohistological evaluation.
1)整块切除肿瘤、区域淋巴结、淋巴管及附近器官;2)避免手术本身导致肿瘤扩散。为避免肿瘤扩散,有不同的治疗方法,其价值尚不清楚,但不会增加手术风险。评估结肠癌根治性手术治疗的前提是标准的手术技术和标准的病理组织学评估。