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根据进行期结肠癌淋巴结转移情况进行合理的淋巴结廓清,在国内还不如胃癌那样讨论的多,为观察结肠癌淋巴结转移规律和特点,指导结肠癌的淋巴结廓清术,我们于1985年3月—1986年6月,参照日本临床·病理大肠癌处理规约的标准,对20例结肠癌做了根治性R_3结肠癌切除术19例,故息性R_3结肠癌切除术1例,术后对所有淋巴结与切除肠管残端进行病理组织学检查,据此结合文献对进行期结肠癌合理术式做一初步探讨,报告如下。
According to the lymph node metastasis of advanced colon cancer, reasonable lymph node clearance is not discussed in the country as much as gastric cancer. To observe the rules and characteristics of lymph node metastasis of colon cancer and to guide the lymph node dissection of colon cancer, we conducted the March 1985-1986 study. In June, 19 cases of radical R3 colon cancer resection were performed on 20 cases of colon cancer according to the Japanese Clinical and Pathological Rules for the Treatment of Colorectal Cancer, and 1 case of resection of R3 colon cancer was performed. All lymph nodes were found after surgery. Resection of the stumps of the intestine for histopathological examination, combined with the literature for a preliminary discussion of the reasonable surgery for advanced colon cancer, the report is as follows.