胃癌并局限型肝转移同步切除九例报告

目的探讨同步切除治疗胃癌并局限型肝转移的临床效果。方法回顾性分析胃癌并局限型肝转移行同步切除的9例患者的临床资料。结果行根治性远端胃大部分切除术7例,根治性近端胃大部分切除术1例,根治性全胃切除1例;局部肝切除8例,左半肝切除1例。无手术死亡病例。术后生存期分别为9、12、12、13、21、24、30、37和62个月,平均生存24.3个月。术后6例再发残肝转移。死亡原因中,3例死于残肝转移,3例死于腹膜转移。结论对胃癌并局限型肝转移患者施行原发灶根治性切除和肝转移灶同步切除可有效地延长生命。

Synchronous resection of regional hepatic metastases in gastric carcinoma:a report of 9 cases

Objective To investigate the clinical efficacy of synchronous resection of regional liver metastases in gastric carcinoma. Methods Nine patients of gastric cancer with regional hepatic metastases underwent synchronous resection of regional hepatic metastases. Clinical data were analyzed retrospectively. Results Seven cases underwent radical distal gastrectomy,1 radical proximal and 1 total gastrectomy. Synchronous resection of regional hepatic metastases included 8 regional hepatectomies and 1 left hemihepatectomy. No operative death occurred. The survival times of 9 patients were 8.5,12,12,13,21,24,29.5,37 and 62 months respectively with a mean survival time 24.3 months. The main causes for postoperative mortality were remnant liver and peritoneum metastasis. Conclusions As for the patients of gastric cancer with synchronous regional live metastases,radical resection of both the primary lesion and liver metastases can prolong the survival time.