同时性结直肠癌肝转移的治疗策略

Treatment strategy of synchronous colorectal cancer liver metastases

同时性结直肠癌肝转移是指结直肠癌确诊前或确诊时发现的肝转移。与异时性肝转移相比,同时性肝转移患者的预后更差。同时性肝转移因需要面对原发灶和转移灶,所以在治疗方式和手术顺序上具有多样性,故在保证患者生存获益的前提下,合理的选择至关重要。因此本文从同时性结直肠癌肝转移的定义、不同病灶状态的策略选择、手术顺序的选择、最新手术技术的进展等方面做一综述和回顾,同时分享本中心的治疗经验。

Synchronous colorectal liver metastases refers to the liver metastases being founded before or after the diagnosis of colorectal cancer.Compared with heterochronous liver metastases,the survival of patients with synchronous liver metastases is poor.At the same time,the primary and metastatic lesion need to be considered for the synchronous colorectal liver metastases,so the treatment options and operative turn are diverse.And in order to extend the survival of patients,reasonable choice is crucial.Therefore,this article reviewed the definition of synchronous liver metastases from colorectal cancer,the strategy selection of different lesion states,the selection of surgical sequence,the progress of the latest surgical techniques and we also shared the treatment experience of the center.