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常見的大腸直腸手術
手術考慮因素
病患因素
- 性別
- 年齡
- 肥胖
- 過去病史
腫瘤因素
- 淋巴轉移
- 分化及
Distal or lateral margin: Well/ Moderate/
Poor
- 種類
: Ulcerative, Polypoid, Scirrhous
- 大小及數目
- 息肉
: 單一或多發性
- 位置
: 肛口距離﹐相關器官﹐括約肌
- 局部侵犯
或
遠端轉移
- 併發症
阻塞﹐破裂﹐腹膜炎
手術方法
Abdominal Perineal Resection(APR)
Lower/ (High) Anterior Resection / EEA﹐Double-staple or Pull-through
(Extended) Left hemicolectomy / mesenteric tunnel
(Extended) Right hemicolectomy
Subtotal colectomy / ileostomy
Total colectomy / J-pouch ileoanal anastomosis
Posterior / Total Pelvic Exenteration
Hartmann’s procedure
Segmental resection
Local Treatment
- Transrectal Excision (TRE)
- Electrocoagulation
- Laser therapy
Bypass Operation
- Ileocecal bypass
- Ileotransversostomy
- Ileosigmoid colon anastomosis
Diversion procedure
- Sigmoid colostomy (Loop or End)
- Distal/ Proximal Transverse colostomy (Loop or End)
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