32例结直肠癌肝转移的外科治疗  

RESECTION OF COLORECTAL CARCINOMA WITH METASTASIS TO THE LIVER IN 32 PATIENTS

作　　者：张连阳[1] 张胜本[1] 黄显凯[1] 周月庆[1] 

机构地区：[1]第三军医大学大坪医院野战外科研究所

出　　处：《中国普外基础与临床杂志》1999年第1期29-30,共2页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：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。We evaluated the surgical results in 32 patients with liver metastasis from colorectal carcinoma. Twenty four patients had 1-3 metastatic hepatic nodules and 20 patients had synchronous hepatic metastasis. Liver resection was carried out simultaneously with radical resection of the primary tumour in 15 patients, 5 patients experienced resection 2 to 4 weeks later. Liver and primary tumour were resected as a whole in 5 patients with infiltrating metastasis from colonic carcinoma.Other operative types included atypical resections, left lateral lobectom and right posterior lobectomy, and right hemihepatactomy, right trilobectomy.Hepatic metastasis were all documented by pathology. The 3 year and 5 year survival rate were 37.5% and 25.0%, with no operative death. The authors believed that the number of metastasis is the most important factor influencing the surgical result, and liver resection is an effective form of treatment for patients with resectable liver metastasis from colorectal carcinoma, but the type of surgery shall be choosed reasonably.

关 键 词：结直肠癌 肝转移瘤 外科手术 

分 类 号：R735.340.6[医药卫生—肿瘤] R735.705[医药卫生—临床医学]