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首页> 外文期刊>ANZ journal of surgery >Similar length of colon is removed regardless of localization in right‐sided colonic cancer surgery
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Similar length of colon is removed regardless of localization in right‐sided colonic cancer surgery

机译:无论右侧结肠癌手术中的定位如何,都会消除类似的结肠长度

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摘要

Background Colorectal cancers represent a heterogenous group of tumours. While left segmental colectomy is an accepted and oncologically safe practice for left‐sided colonic cancer (CC), some authors suggest that limited segmental resection of right‐sided cancer should be debated in order to preserve length of the resected colon. To our knowledge, caecum and ascending CC have not been analysed as different groups of tumours. The objective of this study was to assess if, retrospectively, surgical treatment of caecal cancer differed from ascending CC. Methods A review of all consecutive patients with right colonic resection for cancer admitted to the University hospital of Grenoble from January 2005 to August 2016 was performed. Length of resected colon was compared between caecal primary and ascending CC. Other technical and pathological aspects were analysed such as minimal invasive surgery and number of harvested lymph nodes from anatomic specimens. Results Among operated patients, tumour was localized pre‐operatively on caecum in 110 cases and on the right ascending colon in 119 cases. Pre‐operative localization had no effect on resected colon length (mean 24.5 cm, 24 ± 10.34 versus 25 cm ± 7.28, P = 0.95), on the number of harvested lymph nodes with a mean of 15 (±7.6) nodes in the caecal group versus 15.2 (±7.3) ( P = 0.72). We noticed 15 cases of discordance between pre‐ and post‐operative localization (4 versus 11, P = 0.08). Conclusion Length of resected colon does not differ depending on localization of tumour in our center.
机译:背景背景结直肠癌代表了一种异源性肿瘤。虽然左段细胞切除术是左侧结肠癌(CC)的接受和型安全实践,但一些作者表明,应争论右侧癌症的有限节段性切除,以便保持切除的结肠的长度。据我们所知,盲肠和升序尚未分析为不同的肿瘤组。本研究的目的是评估,回顾性,患剖视癌的外科治疗与升中的CC不同。方法审查2005年1月至2016年8月入院癌症癌症大学癌症癌症癌症切除术患者的所有连续患者。在粘型初级和升中的CC之间比较切除结肠的长度。分析了其他技术和病理学方面,例如来自解剖标本的最小侵入性手术和收获的淋巴结数。结果在经营患者中,肿瘤在110例和119例右上升冒号中预先操作性地定位。术前定位对切除的结肠长度没有影响(平均24.5cm,24±10.34与25cm±7.28,p = 0.95),在粘尾菌中具有15(±7.6)节点的收获淋巴结的数量组对15.2(±7.3)(p = 0.72)。我们注意到术前和后期定位之间的15例不间断(4与11,P = 0.08)。结论切除的结肠的长度根据我们中心肿瘤的局部而异。

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