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总结分析了我院对543例进展期直肠癌施行扩大根治术的结果。指出国人直肠癌侧方转移率为9.6%;主要发生于腹膜返折以下的癌,占该部的13.9%;侧方转移多见于分化较差的低分化腺癌及粘液腺癌,占21.6%,明显高于高、中分化腺痛的6.5%。由于侧方清除避免了可能发生的10%左右的淋巴结转移癌的残留,提高了生存率。本组5年生存率达48.1%。同时指出侧方淋巴清除时的注意事项。
The results of the extended radical resection of 543 cases of advanced rectal cancer in our hospital were summarized and analyzed. The rate of lateral metastasis of rectal cancer in the country was 9.6%, which mainly occurred in peritoneal recurrence of cancer, accounting for 13.9% of the Ministry; Lateral metastasis was more common in poorly differentiated poorly differentiated adenocarcinoma and mucinous adenocarcinoma, accounting for 21.6%. , significantly higher than 6.5% of high and moderately differentiated glandular pain. Side-to-side clearance avoids the possible occurrence of about 10% of lymph node metastases and improves survival. The 5-year survival rate in this group was 48.1%. At the same time point out the precautions for lateral lymphatic clearance.