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肝转移是结直肠癌病人死亡的主要原因,手术是治疗结直肠癌肝转移最有效的也是惟一有可能治愈的手段。然而,如何制定精准的个体化治疗方案(包括化疗和手术的最佳时机及方式)一直存在争议。因此,如何通过多学科综合治疗协作组对结直肠癌肝转移病人及其术前检查结果进行全面评估,针对不同的治疗目标,将病人分为不同组别,明确各组不同的治疗目的,为病人选择合理的化疗和靶向药物治疗方案,确定最佳手术时机(是同期切除还是分期切除)和手术方式(切除范围、微创或开腹手术)是提高结直肠癌肝转移病人预后的关键。
Liver metastasis is the main cause of death in patients with colorectal cancer, surgery is the most effective treatment of colorectal liver metastasis is the only possible cure. However, it is controversial how to formulate accurate individualized treatment plans, including the best timing and methods of chemotherapy and surgery. Therefore, how to conduct a comprehensive assessment of patients with liver metastases from colorectal cancer and their preoperative examination results through a multidisciplinary integrated treatment team, and to different treatment goals, patients are divided into different groups to make clear the different treatment goals of each group Patients choosing the right chemotherapy and targeted drug regimens to determine the optimal timing of surgery (concurrent or staged resection) and surgical modality (resection range, minimally invasive or open surgery) are the key to improving the prognosis of patients with liver metastases from colorectal cancer .