中华普外科手术学杂志(电子版)2024,Vol.18Issue(1) :108-110.DOI:10.3877/cma.j.issn.1674-3946.2024.01.028

结肠肝曲癌的诊断和外科治疗

Diagnosis and surgical treatment of hepatocolon flexure

彭旭 邵永孚 李铎 邹瑞 邢贞明
中华普外科手术学杂志(电子版)2024,Vol.18Issue(1) :108-110.DOI:10.3877/cma.j.issn.1674-3946.2024.01.028

结肠肝曲癌的诊断和外科治疗

Diagnosis and surgical treatment of hepatocolon flexure

彭旭 1邵永孚 1李铎 1邹瑞 1邢贞明1
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作者信息

  • 1. 570100 海南海口,海南省肿瘤医院腹部外科
  • 折叠

摘要

本文对结肠肝曲癌诊断方法与外科治疗原则进行综述.右侧大肠癌侵袭邻近脏器的情况较为罕见,多见于十二指肠及胰腺.按照对十二指肠的侵犯情况,肿瘤侵犯的分级可分为三型:Ⅰ型癌侵犯十二指肠,侵犯十二指肠,直径在2 cm以下,移动性强;Ⅱ型癌侵及十二指肠的直径超过2 cm,且病变部位相对稳定.十二指肠附近的组织可以被累及;Ⅲ型癌胃十二指肠内有一肿瘤穿孔,其位置在胰头区,并聚集近端和(或)胆管,在十二指肠乳头部位有明显的内瘘.不同分型的肿瘤手术方式不同,并发症的发生率和预后不同.基于局部晚期右半结肠癌侵犯十二指肠的诊断结果,明确外科治疗原则,根据肿瘤浸润程度、患者实际情况,选择合适的手术治疗方法,可以获得更加理想的手术效果和生活质量.结肠肝曲癌诊断方法的有效应用和外科治疗原则的明确与手术方式的合理选择,具有重要的临床意义.

Abstract

Right-sided colorectal cancer invading adjacent organs is rare,mostly occurring in duodenum and pancreas.According to the invasion of the duodenum,the tumor invasion grade can be divided into three types:type Ⅰ cancer invasion of the duodenum,invasion of the duodenum,diameter of less than 2 cm,strong mobility;Type Ⅱ invaded the duodenum more than 2 cm in diameter,and the lesion site was relatively stable.Tissues around the duodenum can be involved;There was a perforated tumor in the gastroduodenum of type Ⅲ,which was located in the head of the pancreas and gathered in the proximal or/or bile duct,and there was an obvious internal fistula in the duodenal papilla.Different types of tumors have different surgical methods,and the incidence of complications and prognosis are different.Based on the diagnosis of locally advanced right half colon cancer invading the duodenum,clear surgical treatment principles,according to the degree of tumor invasion and the actual situation of the patient,select the appropriate surgical treatment method,can obtain more ideal surgical results and quality of life.

关键词

结肠肝曲癌/十二指肠/诊断/外科治疗

Key words

Cancer of Hepatic Flexure of Colon/Duodenum/Diagnosis/Surgical Treatment

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出版年

2024
中华普外科手术学杂志(电子版)
中华医学会

中华普外科手术学杂志(电子版)

CSTPCD
影响因子:1.461
ISSN:1674-3946
参考文献量30
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