结肠癌肝转移术后复发的再次肝切除4例分析

目的探讨再次肝切除在结肠癌肝转移肝切除术后肝内复发（RCLM）中的应用和价值。方法回顾性分析1997年10月至2006年8月中国医学科学院肿瘤医院收治的4例RCLM再次肝切除治疗的临床资料。结果4例RCLM首次和再次肝切除时均无手术死亡和手术并发症发生,术后中位生存期从第1次肝切除时算起为57个月,从再次肝切除算起为25.5个月。结论对RCLM再次肝切除安全可行,对经过选择的病例可明显延长存活期。

Repeat hepatic resection for recurrent colon liver metastases

Objective To investigate the safety and the value of repeat hepatic resection for recurrent colorectal liver metastases(RCLM).Methods Retrospectively analysed 4 RCLM patients received repeat hepatic resection who admitted in Cancer Hospital,Chinese Academy of Medical Science,Peking Union Medical College between October 1997 and August 2006.Results There were no postoperative deaths and complication following both the first hepatetomy and the repeat hepatectomy.The median survival of the 4 RCLM,measured from the time of first hepatectomy and the repeat hepatectomy,was 57 months and 25.5 months respectively.Conclusion Repeat hepatectomy is safe and feasible to RCLM, and can provide long-term survival in selected patients.