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目的 探讨大肠癌D3 术式在临床中的应用及意义。方法 对 1997～ 2 0 0 3年用D3 根治术治疗的大肠癌 6 7例进行回顾性分析。结果 结肠癌 4 7例 ,直肠癌 2 0例 ,均施行D3 根治术 ,术中均注意无瘤接触及杀瘤等技术操作 ,术后全部治愈出院 ,其 1、2、3年的生存率分别为 92 %、84 %及 78%。结论 大肠癌D3 术式是一种安全有效的术式 ,能减少肿瘤复发及提高生存率。
Objective To investigate the clinical application and significance of D3 for colorectal cancer. Methods A retrospective analysis was performed on 67 patients with colorectal cancer treated with radical mastectomy from 1997 to 2003. Results 47 cases of colon cancer and 20 cases of rectal cancer were performed radical resection. All patients were treated with tumor-free contact and tumor killing technique. All patients were cured and discharged after operation. The survival rates at 1, 2 and 3 years 92%, 84% and 78%. Conclusion Colorectal cancer D3 surgery is a safe and effective procedure, which can reduce tumor recurrence and improve survival rate.