Form the intersection of rectal cancer and liver it shifts types of skill treated to be should competent to change the intersection of _ and treatment

Form the intersection of rectal cancer and liver it shifts types of skill treated to be should competent to change the intersection of _ and treatment
A research of the French scholar shows, orientates as the liver base of a fruit lymph nodes (HPLN) of a district or 2 districts Do not shift to forming rectal cancer again The liver is shifted(CLM) Liver survival rate of person of future trouble excised exert an influence, should accept whom liver excise high to endanger in the patient cleaning HPLN conventionally in CLM, understand HPLN is given much trouble the situation, improves and shifts HPLN and to always excise the ratio of HPLN, and arrange for the patient to accept auxiliary chemotherapy. The relevant thesis is published in " surgery yearbook " (Ann Surg 2009, 249( 6) : 879).
The researcher endangers a patient high from what has been defined in a prospective database 45 are verified the companion HPLN shifted by pathologic result, analyze, follows up a case by regular visits to 25.5 months on average in influencing the prognostic factor that it survives and recurs.
The result reveals, 17 patients happen in a district HPLN and shift, 10 were shifted for 2 districts HPLN, 18 have been shifted for two areas. HPLN shifts one and clicks survival rate of 3 years and 5 years not influencing the patient. The patient, overall survival rate is 29.7% and 17.3% respectively in 3 years and 5, the time of surviving of location of China, as 20.9 months. Much factor analysis reveals, liver the intersection of serum and the intersection of cancer and the intersection of embryo and antigenic level excise, greater than or equal to 200 g/L, go on person who effect a radical cure the intersection of R0 and liver excise, shift and HPLN, excise HPLN than increase always, and the liver does not adopt auxiliary chemotherapy, the dangerous factor independently of making total survival rate reduce after excising.
Researcher propose as to CLM patient whom the companion HPLN shifted, person who effect a radical cure the intersection of R0 and liver excise, unite HPLN, it cleans to be to cure the method while being possible while being only.
|