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本文统计586例大肠癌手术病例,其中术前或术中确定有血行转移的67例,占11.4%。除肺转移一例外,其余66例均为肝转移。就发病部位而言,以往认为左侧结肠癌发生肝转移者多,本文统计则是升结肠癌的肝转移率最高,占16.7%;其次为乙状结肠癌,占14.7%。作者认为,这是由于右半结肠内径大,症状不明显,发病时间长,因而癌瘤发展严重。近来,对于大肠癌的手术治疗,多数人主张行病灶切除。本文统计的67例血行转移病例中有21例行病灶切除(其中有三例合并切除转移病灶,占31.3%)。就发病部位分析,结肠癌血行转移病例的切除率是
This article counted 586 cases of colorectal cancer surgery, including preoperative or intraoperative determination of blood metastasis in 67 cases, accounting for 11.4%. With the exception of lung metastases, the remaining 66 cases were all liver metastases. As far as the site of the disease is concerned, in the past, it was considered that there were many liver metastases in the left colon cancer. The statistics in this paper was that the liver metastasis rate was highest in ascending colon cancer, accounting for 16.7%; followed by sigmoid colon cancer, accounting for 14.7%. The author believes that this is due to the large diameter of the right colon, the symptoms are not obvious, the onset of a long time, and thus the development of cancer. Recently, most people advocate the surgical removal of colorectal cancer. Of the 67 cases of blood metastases reported in this paper, 21 cases underwent focal resection (including 3 cases with resection of metastatic lesions, accounting for 31.3%). With regard to the analysis of the site of disease, the resection rate of cases of colon cancer metastasis is