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报道经手术及病理证实的胃癌伴肝转移患者36例,其中行原发病灶切除31例,单纯胃网膜右动脉注药化疗5例。前31例在行原发病灶切除的同时对其肝转移灶根据其不同情况而采用转移灶切除、转移灶无水酒精注射、肝固有动脉注药并结扎等处理,其疗效满意。因此,作者认为胃癌即使发生了肝转移也不要轻易放弃手术,在尽可能根治性切除原发病灶的同时处理肝转移灶,再配合其它综合治疗措施,同样能起到缓解症状、提高患者生活质量和延长其生存期的作用。
Thirty-six patients with gastric cancer and liver metastases confirmed by surgery and pathology were reported, of which 31 cases were performed primary resection and 5 cases were treated with simple right gastroepiploic injection. In the first 31 cases, the primary lesions were removed and their hepatic metastases were treated with metastases resection, absolute ethanol injection into the metastatic lesions, injection into the liver proper artery, and ligation according to their different conditions. The curative effect was satisfactory. Therefore, the authors believe that even if liver metastases occur in gastric cancer, they should not easily give up surgery. To treat liver metastases as much as possible with radical resection of the primary lesions, combined with other comprehensive treatment measures, can also relieve symptoms and improve the quality of life of patients. And extend the role of its survival.