What Is Radical Surgery?

Radical surgery refers to the extensive resection of the primary tumor, as well as the removal of the entire tissue in the surrounding lymph node metastasis area, to achieve the "radical" goal as much as possible.

Basic Information

English name

radical operation

Visiting department

Oncology

Indications for radical surgery

Radical surgery is suitable for patients whose tumors are confined to the primary site and regional lymph nodes. No metastases are found in other areas. The patient's general condition can tolerate radical surgery.

Radical surgery principle

It is the principle of radical surgery to make a complete resection of the primary lesion and surrounding tissues that may be affected.

If the primary foci have adhered or invaded the adjacent organs, the adjacent organs must be removed together; for gastric cancer surgery, the entire stomach or most of the stomach should be removed, together with the large omentum, large bowel, and small bowel , The hilar and left gastric para-arterial lymph nodes are resected together. If the left lobe of the liver is invaded, it can be removed together with the left lobe of the liver. However, if the development of the disease has exceeded the scope of radical surgery, or there is severe organ dysfunction, or the elderly are weak and cannot tolerate radical surgery, then do not force this surgery. Depending on the condition, palliative surgery or Other treatments.

Curative effect

The so-called radical surgery refers to the expectation of complete tumor resection. Most malignant tumors spread from their primary focus to surrounding tissues, and a few may be multi-sourced. However, the existing various examination methods, including those observed with the naked eye during surgery, cannot accurately determine the exact infiltration range of tumor cells. Practice has proved that whether radical surgery can achieve cure does not necessarily depend on the scope of surgical resection, but the actual situation of the patient must be comprehensively considered. It is unscientific to reduce the scope of tumor resection or expand blindly regardless of the specific circumstances.