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[大肠癌的外科治疗结果]

[Results of surgical treatment of cancer of the large intestine].

作者信息

Tikhonova N A, Nurov A U

出版信息

Vopr Onkol. 1977;23(5):54-9.

PMID:888418
Abstract

The results of surgical treatment of 765 patients with colonic cancer are analysed, The resectability was 68.7%, postoperative mortality--in 16.3%. The most frequent causes of lethal issues were peritonitis and acute cardiovascular disturbances. The survival of 5 years and longer after radical operations was noted in 53.4 +/- 3.4%. The survival rate in patients with cancer of the right colon is reliably higher than that with the left colon involved. Hemicolectomy yielded better results compared with segmental resections. The worst results of the treatment were noted in stage T4--T3. The presence of metastases in regional lymph nodes reduces 3 times the number of patients survived for 5 years after radical surgery, compared with those without regional metastases. Late results of the treatment in mucous and solid cancers were several times worse than in adenocarcinoma.

摘要

分析了765例结肠癌患者的手术治疗结果。可切除率为68.7%,术后死亡率为16.3%。致死问题最常见的原因是腹膜炎和急性心血管紊乱。根治性手术后5年及更长时间的生存率为53.4±3.4%。右半结肠癌患者的生存率确实高于左半结肠癌患者。与节段性切除相比,半结肠切除术产生了更好的结果。在T4 - T3期观察到最差的治疗结果。与无区域转移的患者相比,区域淋巴结转移使根治性手术后存活5年的患者数量减少了3倍。黏液癌和实体癌的治疗远期结果比腺癌差几倍。

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