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中华普外科手术学杂志(电子版) ›› 2024, Vol. 18 ›› Issue (01) : 108 -110. doi: 10.3877/cma.j.issn.1674-3946.2024.01.028

综述

结肠肝曲癌的诊断和外科治疗
彭旭, 邵永孚(), 李铎, 邹瑞, 邢贞明   
  1. 570100 海南海口,海南省肿瘤医院腹部外科
  • 收稿日期:2023-10-07 出版日期:2024-02-26
  • 通信作者: 邵永孚

Diagnosis and surgical treatment of hepatocolon flexure

Xu Peng, Yongfu Shao(), Duo Li, Rui Zhou, Zhenming Xing   

  1. Department of Hepatobiliary and Pancreatic Surgery, Hainan Cancer Hospital, Haikou Hainan province 570100, China
  • Received:2023-10-07 Published:2024-02-26
  • Corresponding author: Yongfu Shao
引用本文:

彭旭, 邵永孚, 李铎, 邹瑞, 邢贞明. 结肠肝曲癌的诊断和外科治疗[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 108-110.

Xu Peng, Yongfu Shao, Duo Li, Rui Zhou, Zhenming Xing. Diagnosis and surgical treatment of hepatocolon flexure[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 108-110.

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。

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.

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