Zhongshan People's Hospital, Guangdong Medical University, 524002, Zhongshan City, China.
Department of Hepatobiliary and Pancreatic Surgery, Huangshi Central Hospital of Edong Healthcare Group, Hubei Polytechnic University, Huangshi, Hubei, China.
Sci Rep. 2024 Sep 14;14(1):21503. doi: 10.1038/s41598-024-72625-3.
Appendiceal adenocarcinoma, an exceedingly rare malignancy, sparks debate on the optimal surgical approach-appendectomy or right hemicolectomy-for early-stage cases. This study aims to investigate the impact of these two surgical methods on the survival prognosis of patients with early appendiceal adenocarcinoma.
Utilizing a multicenter medical database, we gathered data from 168 patients diagnosed with T1 stage appendiceal adenocarcinoma admitted between January 2008 and January 2015. This study aims to compare the impact of different treatment modalities on the prognosis of appendiceal adenocarcinoma in these two groups.
In patients diagnosed with T1 appendiceal adenocarcinoma, the survival prognosis was not significantly improved with right hemicolectomy compared to appendectomy. Out of one hundred twenty-seven patients undergoing right colon resection, only three exhibited lymphatic metastasis, resulting in a rate of 2.3%.
Simple appendectomy can fulfill the objective of achieving radical tumor resection, rendering right hemicolectomy unnecessary.
阑尾腺癌是一种罕见的恶性肿瘤，对于早期病例，哪种手术方式（阑尾切除术或右半结肠切除术）更优存在争议。本研究旨在探讨这两种手术方法对早期阑尾腺癌患者生存预后的影响。
我们利用一个多中心医学数据库，收集了 2008 年 1 月至 2015 年 1 月期间诊断为 T1 期阑尾腺癌的 168 例患者的数据。本研究旨在比较两组不同治疗方式对阑尾腺癌预后的影响。
在 T1 期阑尾腺癌患者中，与阑尾切除术相比，右半结肠切除术并不能改善生存预后。在 127 例行右半结肠切除术的患者中，仅 3 例出现淋巴转移，转移率为 2.3%。
单纯阑尾切除术可以达到根治性肿瘤切除的目的，无需行右半结肠切除术。
