大肠癌肝转移的诊断及外科治疗

Surgical Treatment for Hepatic Metastases from Large Bowel Carcinoma

目的 :总结和分析大肠癌肝转移的早期诊断和手术治疗。 方法 :通过对大肠癌肝转移病例进行回顾性分析 ,讨论大肠癌的早期诊断及外科手术切除治疗等相关问题。 结果 :18例中 ,依靠CT、B超及CEA定量检测获得诊断者 10例 ,术中探查获得诊断者 8例。手术方式分为肝段切除、肝楔形切除及肿瘤剜出术。生存 5年者 2例 ,生存 4年者 3例 ,生存 3年者 5例 ,生存 2年者 5例 ,生存 1年者 3例。 结论 :手术治疗是大肠癌肝转移最有效的治疗方法 ,主流术式应为不规则肝切除 ,切缘距肿瘤 >1

To analyze and evaluate the early diagnosis and surgical treatment of liver metastases from large bowel cancer Methods:Retrospective analysis was made on cases of liver metastasis of colorectal cancer.Results:Ten cases of liver metastases of large bowel cancer were proved by CEA,CT scan and B ultrasonography,and another 8 cases diagnosed by exploratory operation.Operation procedures included liver segmental resection,wedge-shaped resection,and tumor enucleation.All cases recovered smoothly after operation.3,5,5,3,2 cases survived 1-,2-,3-,4-,5-years respectively.Conclusion::The prevalent procedure for liver secondary tumor is irregular liver resection.Radical hepatic resection with a margin>1.0cm from the tumor is suggested to be a very useful remedy for liver metastases from colorectal cancer.