论文部分内容阅读
报告32例结直肠癌肝转移的手术切除效果,其中肝脏有1~3个转移灶者24例。在20例为同时性肝转移癌中,转移灶与原发灶行一期切除者15例,分期(2~4周后)切除者5例。5例为结肠肝曲癌局部浸润转移,与原发灶整块切除,其它手术方式有不规则肝部分切除、肝左外叶切除、肝右后叶切除、肝右叶切除及肝右3叶切除等。全部病例均经病理证实。无手术死亡。3年、5年生存率分别为37.5%和25.0%。作者认为肝转移灶数目是影响疗效的主要因素,对可切除的肝转移灶手术切除是最有效的方法,但应合理选择具体手术方式
Reported 32 cases of colorectal liver metastasis surgical resection effect, in which the liver has 1 to 3 metastases in 24 cases. In 20 patients with simultaneous hepatic metastases, 15 patients underwent primary resection of metastases and primary tumors, and 5 patients underwent stage (after 2 to 4 weeks) resection. 5 cases were local invasion and metastasis of colonic hepatic carcinoma, and whole primary tumor resection was performed. Other surgical methods included irregular liver partial resection, left hepatectomy, right posterior lobe resection, right hepatectomy, and right hepatic lobe. Removal and so on. All cases were confirmed by pathology. No operative death. The 3-year and 5-year survival rates were 37.5% and 25.0%, respectively. The authors believe that the number of liver metastases is the main factor influencing the curative effect. Surgical resection of resectable liver metastases is the most effective method, but a reasonable choice of specific surgical methods should be used.