结、直肠癌肝转移的外科治疗

Surgical treatment of colonic and rectal cancer withhepatic metastasis

对６８例结、直肠癌肝转移患者中的１３例行手术治疗。其中肝癌不规则楔形切除１１例；右半肝及左半肝切除各１例。术后存活１年１０例，３年６例，５年以上２例；手术死亡１例。余５５例中行肝动脉结扎和一次性冲击化疗５２例；平均存活１１．５个月。３例置肝动脉化疗泵并配合免疫治疗，分别存活１２个月、１８个月和２７个月。作者认为：把握手术时机和适应证，提高手术切除成功率是提高存活率的关键。

AbstractIn 568 patients with colonic and rectal cancertreated in our hospital from January 1970 to January1991, 266 had colonic cancer and 302 rectal cancer.469 patients (263 rectal and 233 colonic)were operatedon. A total of 382 patients(186 and 196 colonic) wereresectable. The average resection rate was 76.6%. 68patients (30 rectal and 38 colonic)had hepatic metasta-sis with a rate of 11. 97%。 13 patients(19,1%)hadhepatic metastasis focus resected。