What is the best treatment for rectal cancer

summary

Today, a good friend came to my house very sad, because her grandfather suffered from rectal cancer, she was brought up by her grandfather. Therefore, she has a very good relationship with her grandfather. I advise her to calm down first. Cancer can be cured now. Today, I'd like to talk about the best treatment for rectal cancer.

What is the best treatment for rectal cancer

First, transabdominal perineal resection (Miles operation) is suitable for lower rectal cancer less than 7cm from the anal margin. The scope of resection includes sigmoid colon and its mesorectum, rectum, anal canal, levator ani muscle, tissues in ischiorectal fossa, skin and blood vessels around anus, ligation and cutting at the root of inferior mesenteric artery or below the left colon artery, and dissection of corresponding para arterial lymph nodes. A permanent colostomy (artificial anus) was performed on the abdomen. The operation is complete and the cure rate is high.

Second: transabdominal low resection and extraperitoneal one-stage anastomosis, also known as anterior resection of rectal cancer (Dixon operation), is suitable for upper rectal cancer more than 12 cm away from the anal margin. Most of the sigmoid colon and rectum are removed in the abdominal cavity, and the rectum below the peritoneal reflexed part is free, and the sigmoid colon and rectum resection end are anastomosed outside the peritoneum. This operation is less invasive and can retain the original anus, which is ideal. If the tumor is large and has infiltrated the surrounding tissue, it should not be used.

Third, sphincter preserving resection is suitable for early rectal cancer 7-11cm from anal margin. If the tumor is large, the degree of differentiation is poor, or the main upward lymphatic vessels have been infarcted by the cancer cells and have lateral lymphatic metastasis, the resection is not complete, and the combined abdominoperineal resection is still better. The current sphincter preserving rectal cancer resection methods include anastomotic device, transabdominal low resection transanal eversion anastomosis, transabdominal free transanal pull-out resection anastomosis, transabdominal transacral resection and so on.

matters needing attention

In the treatment of rectal cancer, we should first determine whether the rectal cancer is malignant or benign. If it is benign, we can take surgical treatment. However, after the operation, we should continue to consolidate the treatment for a period of time to prevent the spread of cancer cells or cancer cell lesions. If it is malignant, take radiotherapy or chemotherapy.