结、直肠癌术后生存15年以上40例分析

ANALYSIS OF 40 CASES OF COLORECTAL CANCER SURVIVING OVER 15 YEARS AFTER CURATIVE RESECTION

我院自1960～1984年共行结直肠癌手术735例。1967年以前有129例,其中姑息性切除21例;根治性切除108例,生存15年以上的40例,均为根治性,占37％。以下着重分析生存15年以上40例的情况,探索有关长期生存的某些因素,以求提高对结、直肠癌的远期疗效。

Forty cases of colorectal cancer surviving over 15 years among 108 cases treated by curative resectionwere presented. The overall 15-year survival rates were Dukes'A 1/1, Dukes'B 50% (27/54), Dukes'C 23.5%(12/51 ) and Dukes'D (0/2) respectively. The prognosis of patients with mucoid adenocarcinoma was poor, the15-year survival rate was 11%, while that of other adenocarcinoma was 42.7%. In the rectal cancer group,the late results of Dixon operation were similar to those of Miles' operation. The authors stressed that goodresults could be obtained with Dixon operation if the cases were properly selected to ensure the rectalresection over 3-5 cm distal to neoplasm.