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手术治疗肿瘤,见于纪元前记载,但按预定计划手术切除内脏肿瘤则始于1809年。如表1所列,近代肿瘤外科的历史发展相当快速,冲向一个又一个的高难境地,有人不禁要问,外科在肿瘤治疗上是否到达尽头?回答是,没有!肿瘤外科还大有可为,现在肿瘤外科倾向可概括如下。一、重视癌的生物特性和扩散规律,各种根治性手术力求做到合理化。手术时力争切净一切应该切除的组织,同时尽量避免损害不应受损的组织和功能。以胃癌手术为例,切割线一直主张与病变边缘相距5cm,限局型癌胃壁内延展不远,则不一定强求5cm,相反,在弥漫性或浸润性强的胃癌,
Surgical treatment of tumors was described before the epoch, but surgery to remove visceral tumors was scheduled to begin in 1809. As listed in Table 1, the historical development of modern oncology surgery is quite rapid, rushing one after another in difficult situations, some people can not help but ask whether the surgery in cancer treatment reaches the end? Answer is, no! Cancer surgery is also promising, now the tumor Surgical tendencies can be summarized as follows. First, attach importance to the biological characteristics and diffusion patterns of cancer. Various radical surgeries should strive to be rationalized. During the surgery, it strives to cut all the tissues that should be removed, while trying to avoid damaging the tissues and functions that should not be damaged. Taking gastric cancer as an example, the incision line has always been proposed to be 5 cm away from the edge of the lesion, and it is not necessary to force the 5 cm to extend the gastric wall of the localized cancer. However, in diffuse or invasive gastric cancer,