Monday, October 29, 2012

Treat rectal cancer it is very important that surgery is chosen

Treat rectal cancer, it is very important that surgery is chosen
Treat rectal cancer, it is very important that surgery is chosen
Treat rectal cancer, it is very important that surgery is chosen
Since several centuries, the surgery has treated tumour as the reliable means, quite a few of tumours still rely on surgery to cure so far. Not worsening as to early tumour, tumour has no disease shifted, can achieve the goal of curing through the operation. Biological expert of rescue center introduces tumour of hospital of new bridge, as to some malignant tumour, in order to prevent the continuation of the body of tumour from expanding increasing, the doctor will excise the body of focus through the operation, cooperate with chemotherapy or radiotherapy to assist and treat, achieve the goal of treating. To the patient not performing the operation, doctors will narrow the body of tumour through radiotherapy or chemotherapy, and then carry on the operation, so as to control the deterioration of the condition, diffusion and transformation of tumour cells. So indicate from all respects, surgery is still to treat the essential effective means of tumour. The operation can be divided into: Effecting a radical cure operation, condoning operation, diagnosing operation. To rectal cancer patient, rely mainly on effecting a radical cure operation and condoning operation. The effecting a radical cure operation root effecting a radical cure operation is fixed on the basis that cancerous swelling is in the position of the rectum. There are two systems of lymphocytic clump among lymphocytic clump and skin under mucous membrane in the rectum wall, the transformation of the lymphocytic system is rare in the cancer cell is in the enteric wall. Once the cancer cell penetrates the intestines wall, spread to the lymphocytic system outside the intestines wall. Once the cancer cell is spread, the doctor will adopt the operation to excise cancerous swelling and is near and the lymphoid tissue above this level, thus realize and reach " Effect a radical cure " Purpose. When the condoning operation such as cancerous swelling part is soaked seriously or shifted extensively and unable to effect a radical cure, for relieve, obstruct and reduce the intersection of patient and agony, feasible excision of condoning etc., make limited excision enteric piece to have cancerous swelling, sew and close the rectum and cut the end far, and fetch second form colon and make the mouth (H artma n n operation) . If is impossible, only make second form colostomy, particularly already with the patient of intestinal obstruction. In view of the above two kinds of therapeutic way characteristics, then when does the rectal cancer patient choose surgery in order to suit? The operation skill type of rectal cancer is in the constant improvement too in recent years, it is by comprehensive decision of a lot of factors what kind of operation rectal cancer chooses. The rectal cancer patient adapts to choosing operation The part of cancerous swelling is soaked, fixed, it is difficult that but there is no distant place to shift to separate and excise, can make, build mouth by second the intersection of form and the intersection of colon and button loop type first, artery intubate act as regional chemistry to treat or act as the radiotherapy at rectum at the same time, if tumour dwindles after treating, can consider excising the second stage of tumour; If tumour does not change much or further develop, continue keeping second form colon making a state, in order to prevent obstructing Lie in front of rectum wall as cancerous swelling, infringe women vagina or uterus person can the pelvis drive skill out after electing to be; Infringe the male prostate or bladder and not have other institutional framework to give much trouble and can do the whole pelvis and remove the skill The part of cancerous swelling is soaked, fixed, can excise, suspect completeness that the part excises after separation, estimate possibility that part recur relatively large, and anus propose the intersection of skin and person who can keep, can select the intersection of Hartmann and surgery for use, part mark silver insert, complement with radiotherapy while being postoperative, if part have recur after the 2 year, and the patient has requirement which resumes intestinal continuity, can cut open the belly to ascertain again, if really there is not abnormal condition, the rectum anastomosis of feasible colon There are persons who can isolate excising transformation cooking stove on having illness coming on in the cooking stove originally and can excise companions, can try to be the first stage of to excise and send the cooking stove and shift the cooking stove originally; Person who can't excise shifting cooking stoving, should send cooking stove, excise originally, offer other aid treat while being postoperative The focus lies the peritoneum is limited to the mucous membrane or mucous membrane lower floor under the broken line, differentiate the high intensity, the diameter lt of tumour; 3cm person, can make and excise the skill through the rectum or through the sacral bone or through some tumour of the perineum When cancerous swelling has already infringed the rectum ring of anal canal, Miles operation is a only alternative skill type Cancerous swelling is soaked, fixed, shift or sow in the abdominal cavity extensively scatteredly with the distant place, should make transverse colon button loop type and make the mouth, prevent obstructing. I have adopted the following choices to some cases according to the above-mentioned principles: A.In order to improve patient's postoperative life quality, shift a patient to 8 rectum poor section of cancerses and liver, because sending the cooking stove originally can be excised, the liver can't be excised to shift the cooking stove, adopt Dixon operation; B.Shift a patient to 16 cases of rectal cancer and liver, because send the cooking stove originally and can be excised, and adopted different ways to deal with to the transformation cooking stove of the liver: 6 customary lobes of the liver are excised; 4 customary liver tumour part is excised; 6 customary liver artery ligature, thromboembolism, chemotherapy, make the good result. Consolidate, treat very much important surgery while being postoperative, though has excised the body of focus, has not meant guaranteeing the patient's life quality, tumour cells are not being recured and shifted. The operation can only remove the body of macroscopic focus, it is unable to be removed through the operation for small tumour to remain cells. So the masses of medical personnel will choose chemotherapy or radiotherapy to consolidate postoperative curative effect, reach and kill residual tumour cells, prevent recurring and transformation purpose of tumour. But as everyone knows, can get up to certain therapeutic effect in though radiotherapy and radiotherapy, but itself have strong poisonous side effect, and body function immune to destroy seriously, tumour cells still have a chance to revive. So how about adopt safely, effective treatment means comes to lengthen the patient's life cycle, it is a medical circle untiring pursuit goal for it at present. Tumour biological the immunization therapy ' Since immunization therapy of body cell) Appearance it so happened whether whether it is of remedying this item deficiency. It it treats principles to be to gather the intersection of patient and peripheral blood mainly, through accurate instrument after activating and amplifying outside the body monocyte that separate under peripheral blood, input a patient in the body, wound tumour cells or virus and infect cells directly, regulate and strengthen the immunological function of the organism. It can cooperate with surgery, radiotherapy to jointly use, improve the poisonous side effect that traditional therapeutic method brings to human body, repair the immunological function of the human body. So it is safe, there is not any poisonous side effect. Produce the lasting immunity replying and lethality to tumour cells at the same time. Prevent recurring and transformation of tumour, reach and lengthen a patient's a patient's life cycle. While rectal cancer is therapeutic, we should be rational to choose to treat the way. Although surgery is the important means with therapeutic rectal cancer, that there are more we should also think in what kind of way to cooperate with surgery to get up and attack one time of results to the thing result. More tumours treat relevant information, can log on the website of biological rescue center of institute of oncology of hospital of new bridge http://www.xqcbt.com/ or dial the consultation hot line to understand by 023-65206669!



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