摘要
目的 探讨结直肠癌并泌尿系转移的手术疗效。方法 回顾性总结我科1997年9月至2006年4月收治的20例结直肠癌并泌尿系转移患者资料。全部患者均行联合脏器根治性切除术。结果 术后肺部感染2例；下肢深静脉血栓形成1例；排尿障碍1例；2例并发膀胱容量减少，致膀胱造瘘管拔管困难。全组无手术死亡。随访时间2～103个月，均未出现局部复发。术后1、3、5年生存率分别为91．7％、69．5％、69．5％。结论 对结直肠癌并泌尿系转移患者积极施行盆腔联合脏器切除术是可行的，可能是改善患者生活质量和提高生存率的最佳方法。
Objective To evaluate clinical effect of radical operation for colorectal cancer involving urinary system. Methods A retrospective study was clone on data of 20 cases with colorectal cancer involving urinary system treated with multi-organ radical resection from September 1997 to April 2006. Results Postoperative complications included pulmonary infection in two cases, deep venous thrombosis of lower limb in one, urinating disorder in one and subtotal bladder ectomy in two who had difficulty in removing the bladder stomal tube due to bladder achoresis. There was no death due to operation. All cases were followed up for 2-103 months, which showed no case with local recurrence. The survival rate at 1 , 3 and 5 years after operation was 91.7%, 69.5% and 69.50/00 respectively. Conclusion For cases with colorectal cancer involving urinary system, pelvic multi-organ radical resection is feasible and the best method to improve the life quality and raise the survival rate.
出处
《消化外科》
CAS
CSCD
2006年第5期315-317,共3页
Journal of Digestive Surgery
关键词
结肠肿瘤
直肠肿瘤
癌转移
泌尿系肿瘤
Colon cancer
Rectal cancer
Cancer metastasis
Urinary system tumor
