肝切除治疗胃肠道癌肝转移14例报告

TREATMENT OF GASTROINTESTINAL CARCINOMA WITH HEPATIC METASTASIS BY HEPATECTOMY:REPORT OF 14 CASES

1976～1990年间外科治疗肝转移癌14例,原发灶为胃癌9例,大肠癌5例。肝转移灶呈单个结节9例,局限于半肝的多个结节3例,两侧肝各有一结节1例,一侧肝有多个结节而另一侧肝有单个结节1例。14例均行肝转移灶和原发灶同步切除。无手术死亡例。术后1年、3年和5年生存率分别为92.9％、35.7％和16.7％。文中对手术适应证及手术方法的选择进行了讨论。

From 1976 to 1990,14 patients with secondary neoplasm of the liver were surgically treated simultaneously with the primary lesions. Among them 11 were males and 3 were females. The age of the patients ranged from 30 to 72 years (47 as an average). The primary tumors included gastric cancer in 9 and colorec-tal cancer in 5. Hepatic metastatic nodules were single in 9,and multiple in 5. All 14 patients underwent synchronous resections of the primary tumor as well as the metastatic masses. The survival rates for one year,three years and five years ofter operation were 92. 9%,35. 7% and 16. 7% respectively. The authors believe that hepatectomy has been proved useful in improving the outcome of patients with liver metastasis. The indications for operation and selection of the operating procedures are discussed.