结、直肠癌肝转移切除24例临床分析

 本文报道浙江医科大学附属第二医院肿瘤外科自1982年7月至1992年6月共行结、直肠癌切除742例，其中有肝脏孤立转移或局限性转移24例，积极地作了肝切除，其5年生存率为25．0%。结果提示：无论同时性或异时性发生的肝转移，只要原发癌可根治性切除或已根治切除，而肝转移灶是单个发或多发仅局限于肝的一叶，无肝外转移者及无局部复发，应作肝切除，可望获得良好的治疗效果。

Twenty Four Patients with Hepatic Metastases from Colorectal Cancer Treated by Resection: Clinical Analysis

Seven hundred forty two cases with colrectal cancer were treated in Department of Oncology, 2nd Hospital of Zhejiang Medical University from July 1982 to June 1992, of which 24 patients with solitary hepatic metastases underwent 'radical' liver resection. Actuarial 5 years survival rate was twenty five percent. The study showed that no matter whether synchronous or metachronous liver metastases was not related to survival. We conclude that if liver resection be actively adopted in selected patients with no extrahepatic metastases, the results were also satisfactory.