大肠癌联合脏器切除32例体会

Multi-visceral resection in the treatment of colorectal carcinoma:An analysis of 32 cases

目的探讨联合脏器切除在晚期大肠癌发生肿瘤组织浸润周围脏器或肝脏转移中的运用价值和可行性。方法对我院1998年7月-2005年7月施行联合脏器切除的32例晚期大肠癌病人的术后并发症发生情况和5年生存率进行回顾性分析。结果行联合肝叶切除的9例中有3例生存5年；行联合周围多脏器切除的23例中有11例生存5年。5年生存率分别为33．33％和47．83％。本组病例均无致死性并发症发生。结论联合脏器切除可提高晚期大肠癌病人的生活质量和5年生存率。临床上对此类病人的治疗应持积极的态度。

Objective To evaluate the value and indications of combined viscera resection for ad- vanced colorectal carcinoma involving peripheral tissue or hepatic metastases. Methods Thirty-two cases of colorectal carcinoma invading peripheral viscera or hepatic metastases were treated with en bloc resection combined other organs in nearly years. The morbidity of postoperative complication and the overall 5-years survival rates were retrospectively analyzed. Results Three cases of 9 combined with liver resection survived more than 5 years and 11 cases of 23 combined with multi-visceral resection survived more than 5 years with the 5-year survival rate being 33. 33% and 47. 83% respectively. No fatal complications occurred in all the patients. Conclusion Multi-visceral resection could improve the quality of life and the 5-year survival rate of the patients with advance colorectal carcinoma.