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腔镜下微波消融联合术后经脐静脉插管化疗治疗结直肠癌肝转移
引用本文:刘雷,黄世锋,卢海明,李向红.腔镜下微波消融联合术后经脐静脉插管化疗治疗结直肠癌肝转移[J].腹部外科,2009,22(4):228-229.
作者姓名:刘雷  黄世锋  卢海明  李向红
作者单位:广西医科大学第四附属医院普外科,柳州,545005
摘    要:目的探讨腹腔镜结直肠癌切除及脐静脉插管同期微波消融联合术后化疗治疗肝转移的临床疗效。方法在腹腔镜下对1I例结直肠癌肝转移行结直肠癌切除及经肝圆韧带脐静脉插管置泵,同期行肝脏转移瘤微波消融治疗,术后辅以经化疗泵介入化疗。比较治疗前后肿瘤直径大小、血供及坏死情况。结果本组治疗前CT检测转移瘤直径为(4.2±2.5)cm,治疗后为(2.5±1.2)cm,转移瘤结节完全坏死8例(72.7%)。随访时间〉6个月者10例,生存10例;随访时间〉12个月者8例,生存6例。结论腹腔镜结直肠癌切除及脐静脉插管同期微波消融联合术后化疗治疗肝转移的疗效好,值得临床推广。

关 键 词:结直肠肿瘤  肿瘤转移  腹腔镜检查  导管消融术

Microwave ablation combined with chemotherapy following colorectal resection and planting IDDS in umbilical vein in treatment of liver metastasis
LIU Lei,HUANG Shi-Feng,LU Hai-Ming,et al..Microwave ablation combined with chemotherapy following colorectal resection and planting IDDS in umbilical vein in treatment of liver metastasis[J].Journal of Abdominal Surgery,2009,22(4):228-229.
Authors:LIU Lei  HUANG Shi-Feng  LU Hai-Ming  
Institution:LIU Lei,HUANG Shi-Feng,LU Hai-Ming,et al.Department of General Surgery,the Fourth Affiliated Hospital of GuangXi Medical University,Liu-Zhou 545005,China
Abstract:Objective To evaluate the effect and value of microwave ablation combined with chemotherapy following colorectal resection in the treatment of liver metastasis.Methods Eleven patients with colorectal cancer and liver metastasis received colorectal resection,microwave ablation on liver metastasis and ligament teres hepatis umbilical vein catheterization plus pump implantation for postoperational chemotherapy.The size,blood supply and necrosis of the tumors were compared before and after treatment.Results The...
Keywords:Coloractal neoplasms  Neoplasm metastasis  Laparoscopy  Catheter ablation  
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