论梗阻性及局限穿孔性直肠癌的治疗策略

Treatment strategy for the obstructive or perforated rectal cancer

结直肠癌是全球常见的恶性肿瘤之一,在我国的结直肠癌手术病例中,直肠癌患者约占57.6%,占据了主要比例。部分直肠癌患者在就诊时可能伴有肠梗阻或局限性穿孔等紧急情况,需要立即采取相关治疗措施。目前,针对梗阻性直肠癌和穿孔性直肠癌有多种外科手术策略和内镜下治疗策略可供选择,外科医生需要进行精确而全面的病情评估,明确当前治疗的目标,并根据患者的临床和肿瘤状况制定合适的治疗方案,以在最小化紧急直肠手术相关并发症风险的同时,优化患者的肿瘤学治疗效果。

Colorectal cancer is one of the common malignant tumor in the world,and about 57.6%of colorectal cancer surgical cases in our country are rectal cancer patients,which occupies a major proportion.Some patients with rectal cancer may already have emergencies such as intestinal obstruction or limited perforation at the time of consultation,which require immediate relevant treatment measures.Currently,there are multiple surgical and endoscopic treatment strategies available for obstructive and perforated rectal cancer.Surgeons need to perform an accurate and comprehensive assessment of the disease,define the goals of the current treatment,and formulate an appropriate treatment plan based on the patient's clinical and oncological status in order to optimize the patient's oncological outcome while minimizing the risk of complications associated with emergency colorectal surgery.