肺癌肝转移外科治疗

Surgical treatment of hepatic metastases of lung cancer

肝脏是肺癌的常见转移部位,在结直肠癌和胃癌病人的肝转移中,较多病例为单独肝脏转移,而肺癌伴肝转移的病人多伴有其他脏器的转移,<1/3的病人仅出现肝转移。目前,对于结直肠癌和神经内分泌肿瘤的肝转移行积极手术治疗已达成共识,但对于肺癌肝转移的手术治疗意见尚不统一。近年来随着肝脏手术技术的进步及对肿瘤生物学特性的认识,肺癌肝转移病人接受手术治疗逐渐增多,且部分病人经手术治疗后可获得长期生存。因此,近年来对于肺癌肝转移的治疗逐渐偏向积极。

Lung cancer metastasis to the liver indicates a poor prognosis, and the majority of patients with metastatic disease to the liver are not indicated for surgery because of the number or diffuse distribution of metastases or the presence of extrahepatic diseases. Liver resection for metastati.e lesions has largely been performed tor secondary eoloreetal or neuroendoerine tumors, and there is little information about its value for lung cancer. Recent improvements in hepatic surgery have made resection of metastases a safe proeedure and it should certainly be considered whenever there is an isolated lesion. More recent reports reinforce the value of an aggressive approach in favorable cases.