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中华普外科手术学杂志(电子版) ›› 2019, Vol. 13 ›› Issue (05) : 444 -447. doi: 10.3877/cma.j.issn.1674-3946.2019.05.004

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局部晚期右半结肠癌侵犯十二指肠的诊断与外科治疗原则
崔伟1, 李世拥1,()   
  1. 1. 100700 解放军总医院第七医学中心普通外科
  • 收稿日期:2019-08-23 出版日期:2019-10-26
  • 通信作者: 李世拥

The diagnosis and treatment of locally advanced right-sided colon cancer adherent to or invading duodenum

Wei Cui1, Shiyong Li1,()   

  1. 1. Department of General Surgery, The Seventh Medical Center of PLA General Hospital, Beijing 100700, China
  • Received:2019-08-23 Published:2019-10-26
  • Corresponding author: Shiyong Li
  • About author:
    Corresponding author: Li Shiyong, Email:
  • Supported by:
    Supported by Military logistics scientific research project(No: CLJ17J022)
引用本文:

崔伟, 李世拥. 局部晚期右半结肠癌侵犯十二指肠的诊断与外科治疗原则[J/OL]. 中华普外科手术学杂志(电子版), 2019, 13(05): 444-447.

Wei Cui, Shiyong Li. The diagnosis and treatment of locally advanced right-sided colon cancer adherent to or invading duodenum[J/OL]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2019, 13(05): 444-447.

临床工作中局部晚期右半结肠癌侵犯十二指肠的病例并不罕见,需要引起外科医生的重视,使部分确有治愈机会的患者得到应有的治疗。患者的主要症状与右半结肠癌类似,CT和MRI有助于明确十二指肠是否受侵。超声内镜也有着重要的诊断价值。对可疑侵犯十二指肠的病例可先试行新辅助治疗,待降期后再考虑手术治疗。术中探查发现肿瘤侵犯十二指肠时应根据具体情况采用不同的手术方法。

The cases of locally advanced right-sided colon cancer adherent to or invading duodenum are not rare, and it is necessary for the surgeons to pay more attention, so as to make some cases get opportunity to cure they deserve. It is similar in the main symptoms between these cases and the cases of right-sided colon cancer. CT scan and MRI are helpful to determine whether the duodenum is invaded, and the endoscopic ultrasonography is an important means and of great value. For the suspected cases adherent to or invading duodenum, the operation is recommended after neoadjuvant chemotherapy. Reasonable and individual surgical procedures are selected when the tumor adherent to or invading duodenum is found during the operation.

[1]
Klaver CE,Gietelink L,Bemelman WA, et al. Locally Advanced Colon Cancer: Evaluation of Current Clinical Practice and Treatment Outcomes at the Population Level[J]. J Natl Compr Canc Netw, 2017, 15(2): 181-190.
[2]
卫洪波,黄江龙.腹腔镜右半结肠癌扩大切除术意义的纷争[J/CD].中华普外科手术学杂志(电子版),2018,12(3): 189-193.
[3]
Shen H,Yang J,Huang Q, et al. Different treatment strategies and molecular features between right-sided and left-sided colon cancers[J].World J Gastroenterol, 2015, 21(21): 6470-6478.
[4]
Wiegering A,Kunz M,Hussein M, et al.Diagnostic value of preoperative CT scan to stratify colon cancer for neoadjuvant therapy[J]. Int J Colorectal Dis, 2015, 30(8): 1067-1073.
[5]
Dehal A,Graff-Baker AN,Vuong B, et al. Neoadjuvant Chemotherapy Improves Survival in Patients with Clinical T4b Colon Cancer[J]. J Gastrointest Surg, 2018, 22(2): 242-249.
[6]
Arredondo J,Baixauli J,Pastor C, et al. Mid-term oncologic outcome of a novel approach for locally advanced colon cancer with neoadjuvant chemotherapy and surgery[J]. Clin Transl Oncol, 2017, 19(3): 379-385.
[7]
Krishnamurty DM,Hawkins AT,Wells KO, et al. Neoadjuvant Radiation Therapy in Locally Advanced Colon Cancer: a Cohort Analysis[J]. J Gastrointest Surg, 2018, 22(5): 906-912.
[8]
Zhou J,Guo Z,Yu W, et al.Clinical Evaluation of Preoperative Radiotherapy Combined with FOLFOX Chemotherapy on Patients with Locally Advanced Colon Cancer[J].Am Surg, 2019, 85(4): 313-320.
[9]
王坤,刘伟昌,施海. 结肠癌侵犯十二指肠的手术方式探讨[J/CD].中华普通外科学文献:电子版,2016,12(6): 417-420.
[10]
Klaver CEL,Kappen TM,Borstlap WAA, et al. Laparoscopic surgery for T4 colon cancer: a systematic review and meta-analysis[J]. Surg Endosc, 2017, 31(12): 4902-4912.
[11]
Feinberg AE,Chesney TR,Acuna SA, et al. Oncologic Outcomes Following Laparoscopic versus Open Resection of pT4 Colon Cancer: A Systematic Review and Meta-analysis[J]. Dis Colon Rectum, 2017, 60(1): 116-125.
[12]
Kang J,Baik SH,Lee KY, et al. Outcomes of laparoscopic surgery in pathologic T4 colon cancers compared to those of open surgery[J]. Int J Colorectal Dis, 2017, 32(4): 531-538.
[13]
袁联文,周建平,刘栋才,等.右半结肠肿瘤侵犯十二指肠的外科治疗[J].中国现代手术学杂志,2010,14(2): 90-92.
[14]
罗育其,于海涛,区文弢.胃空肠吻合在结肠肝曲癌侵犯十二指肠患者中的应用价值[J]. 中华胃肠外科杂志,2017,20(6): 701-703.
[15]
Sheng QS,Chen WB,Li MJ, et al.Combined right hemicolectomy and pancreaticoduodenectomy for locally advanced right hemicolon cancer[J]. Hepatobiliary Pancreat Dis Int, 2015, 14(3): 320-324.
[16]
Cirocchi R,Partelli S,Castellani E, et al.Right hemicolectomy plus pancreaticoduodenectomy vs partial duodenectomy in treatment of locally advanced right colon cancer invading pancreas and/or only duodenum[J]. Surg Oncol, 2014, 23(2): 92-98.
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