Iida A, Tsuchiya S
Gan No Rinsho. 1986 Aug;32(10):1317-21.
The treatment of early colon cancer limited lamina propria mucosa is endoscopic polypectomy. If invasion into the submucosal layer is present, usual colectomy with regional lymph adenectomy is indicated. Colon cancer without distant metastasis is treated by colectomy with regional lymph adenectomy. Right hemicolectomy, transverse colectomy, left hemicolectomy, and sigmoidectomy are indicated according to the location of the cancer. Five years survival rate for curative resection in 96 personal cases was 80.8%. Palliative resection was available to prolong the survival time. Mean survival time after palliative resection was 14 months, but in unresectable case it was 4 months.
早期局限于黏膜固有层的结肠癌的治疗方法是内镜下息肉切除术。如果肿瘤侵犯至黏膜下层,则需行常规结肠切除术并进行区域淋巴结清扫。无远处转移的结肠癌通过结肠切除术和区域淋巴结清扫术进行治疗。根据肿瘤的位置,可行右半结肠切除术、横结肠切除术、左半结肠切除术和乙状结肠切除术。96例患者行根治性切除术后的5年生存率为80.8%。可行姑息性切除术以延长生存时间。姑息性切除术后的平均生存时间为14个月,但不可切除病例的平均生存时间为4个月。