👨‍⚕️ Dr. BOSS 的一般外科衛教室｜Episode 07：大腸癌手術

👨‍⚕️ Dr. BOSS 的一般外科衛教室｜Episode 07：大腸癌手術 Dr. BOSS’s General Surgery Health Classroom｜Episode 07: Colon Cancer Surgery 副標 / Subtitle 👨‍⚕️ Dr. BOSS × 🐨 Koala | 大腸癌：早期發現與手術治療 👨‍⚕️ Dr. BOSS × 🐨 Koala | Colon Cancer: Early Detection & Surgical Treatment --- 🟦 對話稿 Dialogue（中英對照） Koala： BOSS醫生，大腸癌是怎麼發生的？ Doctor BOSS, how does colon cancer develop? BOSS 醫生： 大腸癌通常是從腸道內的腺瘤性息肉慢慢演變而來，隨著時間增大、變異，可能侵犯腸壁甚至轉移到淋巴或其他器官。 Colon cancer usually develops from adenomatous polyps in the colon, which gradually enlarge and mutate over time, potentially invading the colon wall or spreading to lymph nodes and other organs. Koala： 那大腸癌一定要開刀嗎？ Does colon cancer always require surgery? BOSS 醫生： 早期大腸癌多以手術切除為主，切除腫瘤段落並接回健康腸管。若癌症晚期或已轉移，可能需搭配化療或標靶治療。 Early-stage colon cancer is primarily treated with surgery, removing the tumor segment and reconnecting healthy colon. In advanced or metastatic cases, chemotherapy or targeted therapy may be needed. --- 🟦 診斷篇 Diagnosis（中英對照） 症狀 / Symptoms 排便習慣改變、血便、腹痛、貧血、體重下降 Changes in bowel habits, blood in stool, abdominal pain, anemia, weight loss 檢查 / Examination 大腸鏡、組織切片、腹部影像（CT或MRI）、血液腫瘤標記（CEA） Colonoscopy, biopsy, abdominal imaging (CT or MRI), tumor markers (CEA) --- 🟦 手術治療 Surgical Treatment（中英對照） 部分切除 / Segmental Resection 切除癌症段落及相應淋巴結，重新接合腸管。 Remove the cancerous segment along with relevant lymph nodes and reconnect the colon. 臨時或永久造口 / Ostomy 若腸管無法立即吻合，可能設置臨時或永久造口。 Temporary or permanent stoma may be created if immediate reconnection is not possible. 微創手術 / Minimally Invasive Surgery 腹腔鏡或機器手臂輔助手術，減少傷口、恢復較快。 Laparoscopic or robotic-assisted surgery reduces incision size and speeds recovery. --- 🟦 術後照護 Postoperative Care（中英對照） 飲食與營養 / Diet & Nutrition 術後初期以流質或軟食，逐步恢復高纖維均衡飲食 Start with liquids or soft foods, gradually resume a balanced high-fiber diet 傷口照護 / Wound Care 保持清潔乾燥，觀察紅腫、滲液或感染徵象 Keep incision clean and dry; watch for redness, discharge, or infection 復發監測 / Follow-up 定期大腸鏡檢查、影像學與腫瘤標記追蹤 Regular colonoscopy, imaging, and tumor marker monitoring --- 🟦 小知識 Mini Note（中英對照） Koala： 大腸癌可以預防嗎？ Can colon cancer be prevented? BOSS 醫生： 可以透過均衡飲食、高纖維攝取、避免抽菸與過量酒精、維持規律運動，以及定期做大腸鏡篩檢，早期發現息肉或癌前病變。 Yes, by eating a balanced diet rich in fiber, avoiding smoking and excessive alcohol, exercising regularly, and having routine colonoscopy screenings, polyps or precancerous lesions can be detected early. --- 🟦 小貼士 Quick Tip 中文：若出現血便、排便習慣改變或不明原因體重下降，應立即就醫，及早篩檢可大幅提高治癒率。 English: Seek medical attention if you notice blood in stool, changes in bowel habits, or unexplained weight loss. Early screening greatly improves the chance of cure.