结直肠癌肝转移的手术治疗相关问题

Current status of hepatic resection for patients with colorectal liver metastasis

肝转移是结直肠癌患者死亡的主要原因．而肝转移瘤切除手术已被证明能明显改善结直肠癌肝转移患者的预后。因此，结直肠癌肝转移的手术治疗一直是临床研究的重点。近年来，随着肝脏外科技术的进步和结直肠癌化疗方案的改进．肝转移瘤手术的适应证已较前明显改变。外科医生选择手术治疗肝转移瘤的态度也更为积极。此外，多学科联合治疗已成为肝转移瘤治疗的发展方向，同时性和异时性肝转移瘤的治疗也逐渐达成共识。

Liver metastasis is responsible for the majority of death of patients with colorectal cancer. The hepatic resection is curative standard treatment of colorectal liver metastasis. More and more patients with liver metastases from colorectal cancer were indicated to be resected because of progress in both surgical technique and systemic therapies. As a result, many surgeons take a more aggressive attitude towards the management of liver metastasis. In addition, multidisciplinary team of colorectal liver metastasis has helped to standardize clinical practice of synchronous and metachronous liver metastases.