肝切除术治疗肝转移癌的效果

肝切除术治疗肝转移癌是一种有效方法,国内报道尚少。作者报告我院19年间作肝转移癌切除术12例,男7例,女5例。原发癌为大肠癌8例,胃癌2例,胃恶性淋巴瘤和卵巢癌各1例。肝转移结节以单个结节为多(10例),结节平均最大径为5.7cm。与原发灶同时肝切除术6例,异时肝切除术6例。术后5年以上生存4例,最长生存19年,5年生存率为4/10。

Hepatectomy in the Treatment of Liver Metastaic Growths

Hepatic resection has been proved useful in improving the outcome of patients with liver metastasis. During the 19-years period ending 1988, 12 patients were surgically treated for secondary neoplasms in the liver in 7 males and 5 females. The site of the primary tumors included colorectal cancer in 8, gastric cancer in 2, gastric lymphoma and ovary cancer in l each. The operative findings demonstrated single metastatic lesion in 10, and multiple in 2. The greatest diameter of the liver lesions ranged faom 1.5 to 12 cm, with a mean of 5.7cm. Six patients underwent synchronous resections of the primary tumor as well as the hepatic secondary, and metachronously in the rest. Four patients survived over 5 years after operation with the longest for 19 years. The overall 5-year survial rate was 40%.