On the clinical treatment of colon cancer.docVIP

 PAGE \* MERGEFORMAT 8 On the clinical treatment of colon cancer [Keywords:] the clinical treatment of colon cancer (A) of the surgical treatment Preoperative assessment of patients with systemic conditions, tumor stage, whether there is also colorectal cancer and colorectal polyps. Heart, lung, kidney function and disease, with special emphasis on mergers, especially in elderly patients, and often the occurrence of postoperative complications and death the main reason. surgical colon lesions should be removed, remove the regional lymph nodes draining, removal of involvement of adjacent tissues or organs. emphasized that en bloc resection to prevent iatrogenic spread. 1. Surgical methods (1) right colon resection: removal of 5 ~ 10cm terminal ileum, cecum, ascending colon, hepatic flexure and transverse colon to the right - and a half, for the ascending colon and hepatic flexure of colon cancer. Blind to retain the transverse colon cancer. (2) expand the right hemicolectomy: colonic artery ligation, removal of all the transverse colon, splenic flexure free. For the hepatic flexure of large colon, colonic lymph node metastasis in the arterial roots, you need to ligation of the artery. (3) transverse colon resection: for the middle transverse colon cancer, to be free and the splenic flexure hepatic flexure, transverse colon resection, colonic anastomosis down. (4) left colon resection: right branch artery from the distal colon cut off the transverse colon, left branch of the inferior mesenteric artery ligation, resection of proximal sigmoid colon. According to the lesion can be appropriately changed. Applicable to the splenic flexure and descending colon. (5) rectal resection: for the lower sigmoid colon and the junction of straight B cancer. Free splenic flexure, sigmoid artery ligation and rectal artery, descending colon rectal anastomosis. Obese patients to reduce the anastomosis tension, and sometimes from