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从1984年4月到1996年12月,对156例结直肠癌肝转移病人行根治性肝切除术。在中位数为20个月的随访期后,27例(17.3％)发生肺转移。行结直肠癌肝、肺转移灶切除的选择标准是:①原发瘤已完整切除;②没有肝、肺以外的其它部位转移;③对肝或肺的转移灶能完整切除。按此标准,6例做了肝和肺转移灶的手术切除。
From April 1984 to December 1996, radical hepatectomy was performed on 156 patients with colorectal liver metastases. After a median follow-up of 20 months, lung metastases occurred in 27 patients (17.3%). The selection criteria for resection of colorectal liver and lung metastases were as follows: 1 primary tumor had been completely resected; 2 had no liver or other parts of the lung; 3 liver or lung metastases could be completely resected. According to this standard, 6 cases underwent surgical resection of liver and lung metastases.