Policy of local excision for early cancer of the colorectum.
Policy of local excision for early cancer of the colorectum.
复制标题
早期结直肠癌局部切除的政策。
作者：
B. Morson;H. Bussey;S. Samoorian
在技术上可行的情况下，对早期结直肠癌进行局部切除或全活检的政策已被描述。这是基于对切除标本的彻底组织学检查，特别是手术切除的完整性，癌症扩散到肠壁的深度和恶性肿瘤的组织学分级。对119例仅行局部切除术的患者的结果进行了研究。有10次复发，但其中只有5次被视为政策失败。由于这些良好的结果，建议所描述的政策应被视为一个既定的替代部分结肠切除术，前切除术，腹会阴切除术在精心挑选的患者。
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.