Morson B C, Bussey H J, Samoorian S
Gut. 1977 Dec;18(12):1045-50. doi: 10.1136/gut.18.12.1045.
A policy of local excision or total biopsy for early cancer of the colorectum, when this is technically possible, has been described. This is based on thorough histological examination of the excised specimen with special reference to the completeness of surgical excision, the depth of spread of the cancer into the bowel wall, and the histological grade of malignancy. The results of this policy in 119 patients treated by local excision only have been studied. There have been 10 recurrences but only five of these are regarded as policy failures. Because of these good results it is suggested that the policy as described should be regarded as an established alternative to partial colectomy, anterior resection, and abdominoperineal excision in carefully selected patients.
当技术上可行时，已有关于对早期结直肠癌进行局部切除或全活检的政策描述。这基于对切除标本进行全面的组织学检查，特别关注手术切除的完整性、癌症向肠壁的扩散深度以及恶性肿瘤的组织学分级。已对仅接受局部切除治疗的119例患者实施该政策的结果进行了研究。出现了10例复发，但其中只有5例被视为政策失败。鉴于这些良好结果，建议在精心挑选的患者中，所描述的该政策应被视为部分结肠切除术、前切除术和腹会阴联合切除术的既定替代方案。
