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本文分析了1973～1982年174例结直肠癌的外科治疗.其中直肠癌109例,结肠癌65例.109例直肠癌中,108例位于腹膜返折平面以下.右侧结肠癌止左侧多一倍.随访率为74.71%.总手术切除率是78.2%,根治性切除率是69.0%,总手术死亡率是0.9%.根治性切除后5年生存率直肠癌是69.9%、结肠癌是72.3%.DukesA期5年生存率是100%、Dukes B是68.5%、Dukes C41.6%.直肠癌根治性切除后,仅仅是会阴局部复发应可能切除干净,而后输以放疗.至于Dukes D期患者、如果全身情况良好,癌肿块又可以切除,应整块切除包括受侵脏器和局部淋巴结在内的癌性肿块,可以获得令人满意的效果.此外,强调指出直肠指检是早期诊断直肠癌的重要方法.根据我们病例的经验对直肠癌保留肛门括约肌的手术进行了讨论.
This article analyzed 174 cases of colorectal cancer surgery from 1973 to 1982. Among them, 109 cases of rectal cancer, 65 cases of colon cancer, 109 cases of rectal cancer, 108 cases are located below the peritoneal fold plane. The follow-up rate was 74.71%. The total resection rate was 78.2%, the radical resection rate was 69.0%, and the total surgical mortality rate was 0.9%. The 5-year survival rate after radical resection was 69.9% for rectal cancer, and the colon cancer was 72.3%.Dukes A 5-year survival rate is 100%, Dukes B is 68.5%, Dukes C 41.6%. After radical resection of rectal cancer, only a local recurrence of the perineum should be possible to remove clean, and then lose radiotherapy. As for Dukes D In patients with stage disease, if the body is in good condition and the cancerous mass can be resected, a cancerous mass including the affected organ and regional lymph nodes should be resected in a lump and a satisfactory result can be obtained. In addition, it is emphasized that rectal examination is early An important method for diagnosing rectal cancer. According to the experience of our case, the surgery for rectal cancer retaining anal sphincter was discussed.