一期结直肠癌切除与射频消融治疗肝转移癌

Radical Operation of Colorectal Carcinoma Plus Radiofrequency Ablation for Hepatic Metastasis at Same Stage

目的:探讨一期结直肠癌切除与射频消融治疗肝转移癌的临床价值。方法:对5例术前确诊为结直肠癌,经CT和B超发现肝脏有转移病灶的患者,在行结直肠癌切除术后,同时在手术中一期完成B超或腹腔镜下多电极射频消融治疗肝转移癌。结果:5例患者随访3个月至29个月,其中1例病灶较大(直径6cm)者在术后 12个月死于肺转移及全身衰竭,另外4例术后已经分别生存3个月、6个月、22个月、25个月。结论:一期结直肠癌切除与射频消融治疗肝转移癌,具有疗效满意、方法安全、创伤小及痛苦小、避免二次剖腹手术等优点。

Objective： To evaluate the clinical values of radical operation of colorectal carcinoma and multi-electrode radiofrequency ablation for curing hepatic metastasis guided by ultrasound or laparoseopy. Methods： Five patients diagnosed with coloreetal carcinoma had hepatic metastases detected by CT or ultrasound. At the same time of radical operation of colorectal carcinoma, hepatic metastases were ablated with multi-electrode radiofrequeney guided by ultrasound or laparoscopy. The treatments were completed at same stage. Results： All 5 patients were followed up for 3 ～ 29 months, among them one patient with larger mass （ 〉 6cm） died of pulmonary metastasis and waning to 12 month after surgery. The rest 4 patients were alive and had survived 3,6,22 and 25 months respectively. Conclusion： Radical operation of colorectal carcinomas in combined with concurrent radiofrequency ablation for hepatic metastasis provided satisfied efficacy and had less surgical trauma on patients. Second time surgery was avoided.