结肠癌伴肝多发转移癌同期切除术(附1例报告)

SYNCHRONOUS RESECTION OF BOTH COLONIC CARCINOMA AND ITS HEPATIC METASTASIS (REPORT OF 1 CASE)

目的 探讨结肠癌伴多发肝转移同期切除术的可能性及指征。方法 对 1例 71岁结肠癌伴肝脏多个转移灶的患者进行了同期乙状结肠癌根治术、右半肝及左肝外叶切除术。结果 手术历时 5小时 10分钟 ,失血 30 0ml,术后恢复顺利 ,2周出院 ,随访至今无复发。结论 结肠癌伴多发肝转移可在有条件的医院及有经验的外科医生的条件下 ,选择性地、安全地实施。

Objective To investigate the feasibility and indication of synchronous resection of colonic carcinoma and its hepatic metastasis. Methods Radical sigmoidectomy and right hemi hepatectomy plus left lateral segment resection were performed at the same time in a 71 year old patient with sigmoid carcinoma and multiple hepatic metastasis. Results The operation lasted for 5 hours and 10 minutes with 300ml blood lost during the procedure. The patient recovered smoothly and was discharged 2 weeks after operation. Follow up showed no reoccurrence up to the day of this presentation(4 months).Conclusion The operation could be performed safely by experienced surgeon in good equipment hospital.