After the occurrence of colorectal cancer, it will definitely affect the patient's intestinal absorption function. The treatment of this disease must be urgent. The clinical treatment method must be combined with the patient's actual situation to determine the final method. The following introduces the more common surgical treatment methods, which can also help patients cope with various situations. A. Local resection: Local resection refers to the removal of part of the intestinal wall in the area where the tumor is located. It is suitable for early superficial colon cancer and benign tumors that are confined to the mucosa or muscularis mucosa. Some malignant tumors located in the muscularis mucosa and the submucosa, among which a few cases may already have regional lymph node micrometastasis and metastasis, may not meet the requirements of radical cure by local resection alone. Such cases should be treated with caution. The resection range of local resection can include the entire layer of the intestinal wall, and the cutting edge should be no less than 2 cm away from the tumor. It is also possible to perform mucosal resection through endoscopy, or to perform resection of the mucosa, submucosa and part of the muscularis mucosa through anal dilation. B. Bowel segment resection: Bowel segment resection refers to the removal of a certain length of intestinal tube including the tumor. Generally, the upper and lower cutting margins should not be less than 5.0 cm from the tumor. Tumor bowel segment resection should include corresponding mesentery resection, that is, to meet the DL requirement. It is suitable for larger benign tumors and cancers that are partially limited to the submucosal and superficial muscle layer and have no lymph node metastasis. C. Radical surgery: Radical surgery or absolute radical surgery refers to complete surgical removal of the tumor and removal of regional lymph nodes, with no residual cancer at any of the resection margins as determined by histological examination. D. Combined organ resection: Combined organ resection for colon cancer is suitable for cases where adjacent organs are invaded, and is often used as a radical surgical procedure. However, in some cases, such as when the tumor invades other organs, obstruction or perforation may occur, or internal fistula has formed, and the patient has a long postoperative survival expectation, palliative combined organ resection can still be performed even if distant dissemination has occurred. E. Palliative tumor resection: Absolute palliative tumor resection refers to those with residual tumor visible to the naked eye. For example, if there is metastasis to the peritoneum, liver, and non-regional distant lymph nodes, it is impossible to remove all metastatic lesions. Relative palliative tumor resection (or relative radical surgery) is a radical procedure, and the tumor is completely removed by naked eye during the operation, but postoperative histology confirms that there is a resection margin, residual tumor base, or metastasis in the highest level lymph nodes removed. The surgical treatment of colorectal cancer is a very complicated process. Patients should fully understand the various details of the treatment process and be able to imagine some unexpected situations before the disease occurs. Only by making preparations can they promote rapid recovery of the body and greatly ensure the success rate of the operation. |
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