个体化治疗直肠癌同时性肝转移

Individulized treatment of synchronous colorectal liver me-tastases

肝转移是影响结直肠癌预后的重要因素之一。一般认为手术切除是唯一可能治愈结直肠癌肝转移的治疗手段。而近年随着新辅助化疗与肿瘤物理消融技术以及微创技术的进展，尤其在生物一心理一社会的现代医学模式背景下，对可以手术切除的结直肠癌同时性肝转移患者如何选择更为合理的手术方式尚存在较多争议。中国医科大学附属盛京医院收治1例直肠癌同时性肝转移患者经新辅助化疗后腹腔镜下肝转移癌微波消融＋开腹结直肠癌根治性切除术的联合序贯治疗，为同类患者治疗方式的个体化选择提供参考。

Liver metastasis is one of the critical prog- nostic factors for colorectal cancer. Complete surgical resection of liver metastases still remains the only potentially curative treatment for patients with liver metastases. There are still some controversies in how to choose the reasonable management for resectable colorectal cancer patients with simultaneous liver metastases, although neoadjuvant chemotherapy, tumor physical ablation technique and minimally invasive technology have made progress in recent years. One case of surgical treatment of syn- chronous rectal cancer liver metastasis at the Shengjing Hospital with laparoscopic microwave ablation ＋ radical resection of colo- rectal cancer was disused in order to provide reference for indi- vidualized treatment for patients with the same disease.