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结直肠癌肝转移的手术治疗探讨 被引量:1

Surgical Resection for Colorectal Carcinoma Metastatic to the Liver
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摘要 目的探讨结直肠癌肝转移的外科手术治疗效果。方法对41例结直肠癌肝转移患者施行手术切除,综合文献对手术适应证、手术方式及随访结果进行分析,并比较同期手术组与非同期手术组的生存率。结果全组无手术死亡,1、3、5年生存率分别为82.9%、46.3%、17.1%,同期手术组与非同期手术组1、3、5年生存率比较差异无显著性。结论手术切除是结直肠癌肝转移的有效治疗方法。 Objective To study the effect of surgical resection for colorectal carcinoma metastatic to the liver.Methods 41 cases with colorectal carcinoma metastatic to the liver were received surgical resection. The clinical data were analyzed retrospectively. We reviewed the literature and studied the surgical indications, operating modes and the follow-up results. And the survival rates were compared between the same time surgery group and the different time surgery group.Results All the cases recovered smoothly after operation. No case died during the operation. The 1, 3 and 5-year survival rates were 82.9%, 46.3%, 17.1% respectively. There was no significant difference between the same time surgery group and the different time surgery group.Conclusion Surgical resection is the most effective method for colorectal carcinoma metastatic to the liver.
出处 《医学新知》 CAS 2007年第1期20-21,24,共3页 New Medicine
关键词 结直肠癌 肝转移 手术治疗 colorectal carcinoma hepatic metastases surgical resection
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参考文献8

  • 1Bramhall S R,Gur U,Coldham C,et al.Liver resectionfor colorectal metastases.Ann R Coll Surg,2003,85(5):334.
  • 2Philipp M K,Debabrata B,Nancy K,et al.Moleculartherapies for colorectal cancer metastatic to the liver.Mol Ther,2002,5(5):492.
  • 3Fong Y,Fortner J,Sun R L,et al.Clinical score forpredicting recurrence after hepatic resection for metastaticcolorectal cancer:Analysis of 1001 consecutive case.Ann Surg,1999,230(3):309.
  • 4Nordlinger B,Guiguet M,Vallant J C,et al.Surgicalresection on colorectal carcinoma metastases to theliver,a prognostic scoring system to improve caseselection based on 1568 patients.Cancer,1996,77(7):1254.
  • 5Robert M,Philip P,Yuman F,et al.Simultabeous liverand colorectal resections are safe for synchronouscolorectal liver metastasis.J AM Coll Surg,2003,197:233.
  • 6Fong Y.Hepatic colorectal metastasis:Current surgicaltherapy,selection criteria for hepatectomy,and role foradjuvant therapy.Advances in Surgery,2000,34(3):351.
  • 7傅德良.结肠直肠癌肝转移重复肝切除后生存不佳的预后因素[J].国外医学(外科学分册),2004,31(2):120-121. 被引量:1
  • 8季加孚.结直肠癌肝转移的治疗策略[J].中国实用外科杂志,2004,24(7):398-400. 被引量:26

二级参考文献12

  • 1Martin R, Paty P, Fong Y, et al. Simultaneous liver and colorectal resections are safe for synchronous colorectal liver metastasis. J Am Coll Surg, 2003, 197(2): 233-291
  • 2Wagner JS, Adson MA, Van Heerden JA, et al. The natural history of hepatic metastases from colorectal cancer: a comparison with resective treatment. Ann Surg, 1984, 199(5): 502-508
  • 3Kemeny MM, Adak S, Gray B, et al. Combined-modality treatment for resectable metastatic colorectal carcinoma to the liver: surgical resection of hepatic metastases in combination with continuous infusion of chemotherapy--an intergroup study. J Clin Oncol,
  • 4Van Cutsem E, Twelves C, Cassidy J, et al. Oral capecitabine compared with intravenous fluorouracil plus leucovorin in patients with metastatic colorectal cancer: results of a large phase III study. J Clin Oncol, 2001, 19(21): 4097-4106
  • 5Schuller J, Cassidy J, Dumont E, et al. Preferential activation of capecitabine in tumor following oral administration to colorectal cancer patients. Cancer Chemother Pharmacol, 2000, 45(4): 291-297
  • 6Rougier P, Van Cutsem E, Bajetta E, et al. Randomised trial of irinotecan versus fluorouracil by continuous infusion after fluorouracil failure in patients with metastatic colorectal cancer. Lancet, 1998, 352(9138): 1407-1412
  • 7Cunningham D, Pyrhonen S, James RD, et al. Randomised trial of irinotecan plus supportive care versus supportive care alone after fluorouracil failure for patients with metastatic colorectal cancer. Lancet, 1998, 352(9138): 1413-1418
  • 8Freyer G, Rougier P, Bugat R, et al. Prognostic factors for tumour response, progression-free survival and toxicity in metastatic colorectal cancer patients given irinotecan (CPT-11) as second-line chemotherapy after 5FU failure. CPT-11 F205, F220, F221 a
  • 9Saltz LB, Cox JV, Blanke C, et al. Irinotecan plus fluorouracil and leucovorin for metastatic colorectal cancer. Irinotecan Study Group. N Engl J Med, 2000, 343(13): 905-914
  • 10de Gramont A, Vignoud J, Tournigand C, et al. Oxaliplatin with high-dose leucovorin and 5-fluorouracil 48-hour continuous infusion in pretreated metastatic colorectal cancer. Eur J Cancer, 1997, 33(2): 214-219

共引文献25

同被引文献14

  • 1周岩冰,江海涛,周晓斌,张建立,王海波,毛伟征,丁连安,张敬智,于冠君.直肠癌手术的质量控制[J].青岛大学医学院学报,2006,42(2):95-98. 被引量:6
  • 2KEMENY N. Presurgical chemotherapy in patients being considered for liver resection[J]. Oncolologist, 2007,12(7) :825- 839.
  • 3秦新裕.结直肠癌肝转移的综合治疗进展[C].全国肿瘤转移学会大会论文集,2007:7-8.
  • 4GREGORY D L, BARUCH B, NACY E K. Neoadjuvant chemotherapy before liver resection for patients with unresectable liver metastases from eoloreetal earcinoma[J]. J Clin Oncol, 2005,23(9):2038-2048.
  • 5CAPUSSOTTI L, FERRERO A, VIGANO L, et al. Major liver resections synchronous with colorectal surgery[J]. Ann Surg Oneol, 2007,14(1) :195-201.
  • 6MALIK H Z, HAMADY Z Z, ADAIR R, et al. Prognostic influence of multiple hepatic metastases from colorectal cancer [J]. Eur J Surg Oncol, 2007,33 (4) :468-473.
  • 7邱云峰,瞿敏,王科峰,王为民.结直肠癌肝转移的外科治疗[J].中国肿瘤外科杂志,2009,1(6):378-379. 被引量:2
  • 8周活动,林强,洪锦伏.47例结、直肠癌肝转移的诊断与治疗[J].广东医学院学报,2010,28(2):168-169. 被引量:2
  • 9周雷,李启东,介建政,孟凡强,王文跃,高岛茂树.结直肠癌肝转移的手术治疗[J].临床外科杂志,2009,17(9):615-617. 被引量:2
  • 10韩庆海.结直肠癌肝转移的治疗[J].中国当代医药,2011,18(2):151-152. 被引量:2

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